Individual
MS. ROSE MARGRET THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32100 TELEGRAPH RD STE 185, BINGHAM FARMS, MI 48025-2453
(248) 217-4266
(248) 712-4381
Mailing address
32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025-2454
(248) 712-4266
(248) 712-4381
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
2080P0006X
MI
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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