Individual
DR. ANOOP THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15209 W MICHIGAN AVE, MARSHALL, MI 49068-9570
(269) 781-9119
(269) 789-4347
Mailing address
15209 W MICHIGAN AVE, MARSHALL, MI 49068-9570
(269) 781-9119
(269) 789-4347
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301058702
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2601301142
BCBSM
MI
05
—
3190590
—
MI
05
—
4305100
—
MI
01
—
7509107630
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/09/2006
Last updated
12/08/2014
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