Organization
NORTHWEST PATHOLOGY CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN EDELMAN MD (PRESIDENT)
(248) 858-3190
Entity
Organization
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(989) 459-2300
Mailing address
PO BOX 670114, DETROIT, MI 48267-0114
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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