| NPI | 1417620170 |
|---|---|
| Former Legal Business Name | GREAT LAKES FOOT & ANKLE INSTITUTE PC |
| Doing Business As | GREAT LAKES FOOT AND ANKLE AN ANATOMIC PATHOLOGY LABORATORY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN T FRASCONE Owner 586-725-3444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| 207ZP0101X Pathology, Anatomic Pathology | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2024-02-16 |