Organization
HURON PATHOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO GONZALEZ (AUTHORIZED)
(800) 288-8325
Entity
Organization
Contact information
Practice address
2601 ELECTRIC AVE, PORT HURON, MI 48060-6587
(732) 212-0060
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
10/24/2019
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