# MICHIGAN PATHOLOGY SPECIALISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033193875
- **Authorized official:** DR. ANTHONY KUBAT MD (PRESIDENT)
- **Authorized official phone:** (616) 267-2660

## Contact information

- **Practice address:** 35 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2514
- **Practice address phone:** (616) 267-2660
- **Practice address fax:** (616) 267-2661
- **Mailing address:** 4267 CANAL AVE SW, GRANDVILLE, MI 49418-2218
- **Mailing address phone:** (616) 267-2660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 23D0380113 | MI | Yes |

## Other

- **Enumeration date:** 12/05/2005
- **Last updated:** 10/17/2026