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Individual

SUBHASH THAKUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
215 E MANSION ST, SUITE 2F, MARSHALL, MI 49068-1559
(269) 789-8272
(269) 789-8273
Mailing address
215 E MANSION ST, SUITE 2F, MARSHALL, MI 49068-1559
(269) 789-8272
(269) 789-8273

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
35-088741
OH
2086S0129X
Vascular Surgery Physician
Primary
4301095728
MI

Other

Enumeration date
09/28/2007
Last updated
12/08/2014
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