Individual
BETHANY THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FORD PL, DETROIT, MI 48202-3450
(248) 224-1113
Mailing address
1 FORD PL, DETROIT, MI 48202-3450
(248) 224-1113
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
MI
Other
Enumeration date
07/22/2019
Last updated
09/26/2019
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