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TRICIA A. BYRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-2315
(517) 372-1617
Mailing address
4748 RELIABLE PARKWAY, CHICAGO, IL 60686-0001
(316) 685-2371

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301053040
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1600290
PHP
MI
01
3103306121
BCBS MI INDIVIDUAL PIN
MI
05
4238571
MI
Enumeration date
06/27/2006
Last updated
03/03/2019
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