Individual
DR. BRIAN ANDRUS PAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
850 W BARAGA AVE, MARQUETTE, MI 49855-4550
(906) 449-3246
Mailing address
350 W 11TH ST, IU HEALTH PATHOLOGY LAB, INDIANAPOLIS, IN 46202-4108
(317) 491-6213
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5101026175
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679836019
—
MI
Enumeration date
06/20/2012
Last updated
03/11/2022
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