Individual
DR. TRICIA LAUREN GRIFFITHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8300
(262) 577-8414
Mailing address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8300
(262) 577-8414
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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