# NORTHWEST PATHOLOGY CONSULTANTS PC

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

## Provider details

- **NPI number:** 1942254909
- **Authorized official:** DR. BRIAN EDELMAN (PRESIDENT)
- **Authorized official phone:** (248) 858-3190

## Contact information

- **Practice address:** 44405 WOODWARD AVENUE, ST JOSEPH MERCY HOSPITAL, PONTIAC, MI 48341-2985
- **Practice address phone:** (248) 858-3190
- **Practice address fax:** (248) 858-3148
- **Mailing address:** PO BOX 670114, DETROIT, MI 48267-0114
- **Mailing address phone:** (248) 858-3197
- **Mailing address fax:** (248) 858-3148

## Taxonomy

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

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 06/14/2024