Individual
TRYSTAN ROBERT THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD
Contact information
Practice address
221 MICHIGAN ST NE STE 200, GRAND RAPIDS, MI 49503-2533
(616) 267-8950
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
07/08/2024
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