Organization
MICHIGAN PATHOLOGY SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY KUBAT MD (PRESIDENT)
(616) 267-2660
Entity
Organization
Contact information
Practice address
35 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2514
(616) 267-2660
(616) 267-2661
Mailing address
4267 CANAL AVE SW, GRANDVILLE, MI 49418-2218
(616) 267-2660
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
23D0380113
MI
Other
Enumeration date
12/05/2005
Last updated
10/28/2020
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