Organization
SPARTAN GENETIX LLC
Active
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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