| NPI | 1902865611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DALY MCCOY Secretary/Treasurer 952-993-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2007-09-12 |