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Individual

ADAM MICHAEL THAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, BSN

Contact information

Practice address
117 MAIN AVE E STE A, DEER RIVER, MN 56636-8735
(218) 246-2250
(218) 246-2165
Mailing address
4100 LEXINGTON AVE N STE 150, SHOREVIEW, MN 55126-3025

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R-1900549
MN

Other

Enumeration date
06/05/2025
Last updated
06/05/2025
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