Individual
ANU GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 W MONROE ST, JACKSON, MI 49202-2079
(248) 408-7927
Mailing address
4065 SUMMERFIELD DR, TROY, MI 48085-7034
(512) 740-0156
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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