Organization
WESTSHORE PATHOLOGY SERVICES PLC
Active
Parent organization
WESTSHORE PATHOLOGY SERVICES PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTSHORE PATHOLOGY SERVICES PLC
Authorized official
DR. BRUCE A REICHARDT MD (LABORATORY DIRECTOR)
(231) 728-5758
Entity
Organization
Contact information
Practice address
1774 PECK ST, MUSKEGON, MI 49441-2533
(231) 728-5758
(231) 728-5636
Mailing address
1774 PECK STREET, MUSKEGON, MI 49441-2533
(231) 728-5758
(231) 728-5636
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
AUID1037588
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
CAPLAP2524601
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2099460
—
MI
Enumeration date
10/13/2006
Last updated
10/23/2007
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