PATHOLOGY SPECIALISTS OF SOUTHEAST MICHIGAN PC
Medical Practice at Moross Rd, Detroit, MI

License number
Michigan 403788
Category
Medical Practice
Type
Anatomic Pathology & Clinical Pathology
Owner
Name: DR. MARTHA J HIGGINS MD
Title: PRESIDENT
Phone: (313) 343-3520
Address
Address 2
22101 Moross Rd, Detroit, MI 48236
PO Box 72572, Cleveland, OH 44192
National Provider ID: 1023100500
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PATHOLOGY SPECIALISTS OF SOUTHEAST MICHIGAN, PC

Detroit, MI

Registration:
Mar 8, 2004
Addresses:
22101 Moross Rd, Grosse Pointe, MI 48236 (Physical)
Michigan (Mailing)
State ID:
10911D
Business type:
Domestic Professional Service Corporation
Agent:
Martha J Higgins

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