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Individual

ANITA THAKUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2323 N LAKE DRIVE, MILWAUKEE, WI 53211
(414) 291-1989
(414) 291-1129
Mailing address
13706 N MARTIN WAY, MEQUON, WI 53097
(262) 243-9880

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
43392
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
43392
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34254000
WI
Enumeration date
09/06/2006
Last updated
09/11/2025
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