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Individual

PRIYA KRISHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3601 W 13 MILE RD, FSC, ROYAL OAK, MI 48073-6712
(248) 423-2454
(248) 423-2576
Mailing address
4970 LAKESHORE RD, FSC, FORT GRATIOT, MI 48059-3539
(810) 385-2803
(248) 423-2576

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
4301079814
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
220F36137
BCBSM
MI
Enumeration date
11/01/2006
Last updated
07/08/2007
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