Organization
PATHOLOGY ASSOC OF SOUTHWESTERN MICHIGAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELMER ARTHUR ROBERTSON MD (PRESIDENT)
(269) 983-8495
Entity
Organization
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8495
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8495
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029606
MIDWEST HEALTH PLAN
MI
01
—
03566
PRIORITY HEALTH
MI
01
—
0A17613
BLUE CROSS BLUE SHIELD
MI
01
—
27511
COMMUNITY CHOICE MI
MI
01
—
DD1008
RAILROAD MEDICARE
MI
01
—
XX10229
HEALTHPLUS MI
MI
Enumeration date
08/04/2006
Last updated
10/25/2011
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