Great Lakes Pathologists Sc
NPI #1689695934 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1689695934
- Entity Type
- Organization
- Organization Name
- Great Lakes Pathologists Sc
- Primary Specialty
- Pathology - Anatomic Pathology & Clinical Pathology
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Jul 12, 2010
Practice Location
- Address
- 8901 W LINCOLN AVE
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-2409
- Phone
- (414) 328-7950
Authorized Official
- Name
- JIMMY R CLARK, M.D.
- Title
- PRESIDENT
- Phone
- (414) 328-7950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology |
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