| NPI | 1306868427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY W FERGUSON President 231-935-6108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2025-04-15 |