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Individual

MODINA RICHIA THRASHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
32355 CAPITOL, LABORATORY CORPORATION OF AMERICA, LIVONIA, MI 48150
(734) 573-3500
(734) 524-9316
Mailing address
32355 CAPITOL, LIVONIA, MI 48150
(734) 573-3500
(734) 524-9316

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301053689
MI

Other

Enumeration date
04/03/2007
Last updated
07/08/2007
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