| NPI | 1710938352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS S FREDEEN President 920-433-3653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |