Organization
MARTA V THAKKAR, MD,SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTA V THAKKAR MD (PRESIDENT)
(414) 447-2674
Entity
Organization
Contact information
Practice address
3070 N 51ST ST, P309, MILWAUKEE, WI 53210-1645
(414) 447-2764
(414) 447-2884
Mailing address
1050 W KESWICK LN, LAKE FOREST, IL 60045-1138
(847) 505-6150
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
47942
WI
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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