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MICHIGAN DIAGNOSTIC PATHOLOGISTS, PLLC

Physicians Pathology Blood Banking & Transfusion Medicine

Provider NPI: 1578734281

Organization Information:
Organization Name:  MICHIGAN DIAGNOSTIC PATHOLOGISTS, PLLC
Organization is not Subpart
Authorized Official:  FAROOQ A MINHAS  PRESIDENT  248-849-3000

Practice Location:
16001 W 9 MILE RD PROVIDENCE HOSPITAL, DEPARTMENT OF PATHOLOGY SOUTHFIELD, MI 48075-4818 US
Tel: 248-849-5401  Fax: --

Business Mailing Address:
P.O. BOX 1468  NOVI, MI 48099-1468 US
Tel: --  Fax: --

NPI Information:
NPI: 1578734281
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207ZB0001XPhysicians
Pathology
Blood Banking & Transfusion Medicine
N207ZC0500XPhysicians
Pathology
N207ZD0900XPhysicians
Pathology
N207ZH0000XPhysicians
Pathology
N207ZI0100XPhysicians
Pathology
N207ZM0300XPhysicians
Pathology
N207ZP0105XPhysicians
Pathology
Y207ZP0102XPhysicians
Pathology

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207ZP0102X

Type:

Classification:



Definition:



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