Organization
MIDWESTERN PATHOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SCOTT MD (PRESIDENT)
(269) 226-7231
Entity
Organization
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 266-7231
Mailing address
6810 RELIABLE PARKWAY, CHICAGO, IL 60686-0001
(800) 288-8325
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220C960410
BLUE CROSS
MI
Enumeration date
06/17/2005
Last updated
07/21/2022
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