Individual
DR. MYRON WILLIAM THATCHER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1886 W STADIUM BLVD, SUITE 100, ANN ARBOR, MI 48103-7007
(734) 663-2300
(734) 663-0010
Mailing address
1886 W STADIUM BLVD, SUITE 100, ANN ARBOR, MI 48103-7007
(734) 663-2300
(734) 663-0010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004878
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144389235
—
MI
Enumeration date
07/18/2005
Last updated
03/25/2008
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