Individual
MANISH KUMAR THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 MICHIGAN ST NE STE 5200, GRAND RAPIDS, MI 49503-2565
(616) 486-6700
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301095883
MI
207RH0000X
Hematology (Internal Medicine) Physician
4301095883
MI
207RX0202X
Medical Oncology Physician
Primary
4301095883
MI
Other
Enumeration date
09/08/2010
Last updated
12/21/2023
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