Organization
SPARTAN GENETIX LLC
Active
Other names
Spartan Genetix LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJAN DEWAR MD PHD (PRESIDENT)
(617) 785-0487
Entity
Organization
Contact information
Practice address
3610 FOREST RD STE 139, LANSING, MI 48910-3716
(617) 785-0487
Mailing address
3610 FOREST RD STE 139, LANSING, MI 48910-3716
(617) 785-0487
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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