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Organization
BLUEWATER PATHOLOGY PC
Active
Organization
BLUEWATER PATHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD T ANDERSON MD (PRESIDENT)
(810) 989-3270
Entity
Organization
Contact information
Practice address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 989-3270
Mailing address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 989-3270
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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