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Organization

WESTERN MICHIGAN PATHOLOGY ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW DAVID CARR (AUTHORIZED OFFICIAL)
(616) 394-3185
Entity
Organization

Contact information

Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 392-5141
(419) 866-5453
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Enumeration date
11/23/2005
Last updated
04/13/2018
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