Individual
DR. NICOLE LYNNE THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1060 W MAIN ST, GAYLORD, MI 49735-8101
(844) 253-8908
Mailing address
891 E OLSON RD, MIDLAND, MI 48640-8622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022383
MI
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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