Organization
HART ROAD PATHOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH JB GUSTAFSON (MANAGER PATIENT ACCOUNTS)
(608) 364-5123
Entity
Organization
Contact information
Practice address
1969 W HART RD, BELOIT, WI 53511-2230
(608) 364-5123
Mailing address
1969 W HART RD, BELOIT, WI 53511-2230
(608) 364-5123
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
46411
WI
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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