Organization
MAINWARING PATHOLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F SCHALDENBRAND MD (PRESIDENT)
(313) 593-7965
Entity
Organization
Contact information
Practice address
18101 OAKWOOD BLVD, OAKWOOD HOSPITAL MEDICAL CENTER, DEARBORN, MI 48124
(313) 593-7965
(313) 593-7143
Mailing address
PO BOX 32615, DETROIT, MI 48232-0615
(313) 593-7965
(313) 593-7143
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220H26182
BCBSH
MI
Enumeration date
03/23/2006
Last updated
08/22/2020
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