Individual
DR. WILLIAM BRADLEY THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(269) 762-9012
Mailing address
5888 QUARTZ ST, KALAMAZOO, MI 49004-9195
(269) 762-9012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2951000775APP19
MI
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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