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Individual

DR. TRICIA LAUREN GRIFFITHS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301106069
MI
207RP1001X
Pulmonary Disease Physician
Primary
73339-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174938740
WI
01
73339-20
WI LICENSE
WI
Enumeration date
06/23/2014
Last updated
07/15/2020
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