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Individual

FLORENCE SRI-THARAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2255 FORT ST, LINCOLN PARK, MI 48146-2444
(313) 386-7500
(313) 386-6447
Mailing address
27774 FRANKLIN RD, SOUTHFIELD, MI 48034-2352
(248) 356-5555
(248) 356-5544

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301065409
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4174124-10
MI
Enumeration date
08/18/2005
Last updated
09/27/2010
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