# GRAND HAVEN PATHOLOGY, PC

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

## Provider details

- **NPI number:** 1215921036
- **Authorized official:** KAY AARDEMA MD (PRESIDENT)
- **Authorized official phone:** (616) 847-5200

## Contact information

- **Practice address:** 1309 SHELDON RD, GRAND HAVEN, MI 49417-2404
- **Practice address phone:** (616) 847-5200
- **Mailing address:** 5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
- **Mailing address phone:** (800) 288-8325
- **Mailing address fax:** (419) 866-5453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 38349342 | MI | Yes |

## Other

- **Enumeration date:** 09/08/2005
- **Last updated:** 10/31/2013