Individual
MIAO TIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 NORTHSTAR WAY, MODESTO, CA 95356
(209) 577-1200
(209) 577-6517
Mailing address
4301 NORTHSTAR WAY, MODESTO, CA 95356
(209) 577-1200
(209) 577-6517
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A166044
CA
Other
Enumeration date
07/17/2017
Last updated
04/15/2022
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