Pathology Specialists Of Southeast Michigan Pc

NPI 1023100500 - Pathology - 207ZP0102X

NPI Details
NPI 1023100500
Enumeration Date 09/29/2006
Last Updated 07/16/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARTHA J MARTHA
Position PRESIDENT
Phone (800) 288-8325
Fax (419) 866-5453
Practice Location
22101 MOROSS RD
DETROIT MI, 48236-2148, US
Phone (800) 288-8325
Fax (419) 866-5453
Business Location
PO BOX 72572
CLEVELAND OH, 44192-0002, US
Phone (800) 288-8325
Fax (419) 866-5453
Toxanomy
Taxonomy Code 207ZP0102X
License State Michigan
License Number 403788
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According to our database, Pathology Specialists Of Southeast Michigan Pc NPI is 1023100500, taxonomy code is 207ZP0102X and license number is 403788, license state is located at Michigan. Pathology Specialists Of Southeast Michigan Pc physically located at 22101 Moross Rd, Detroit MI, 48236-2148. NPI Number 1033115704 has the healthcare provider type.

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1023100500 NPI number is provided on an as is basis without warranty of any kind. 1023100500 is maintained by the National Plan & Provider Enumeration System. The contents of Pathology Specialists Of Southeast Michigan Pc are for informational purposes only.