| NPI | 1578619029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PETERS Authorized Official 231-739-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |