Organization
ST. MARY'S OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL THELEN MS, RD (REGISTERED DIETITIAN)
(989) 846-3407
Entity
Organization
Contact information
Practice address
805 WEST CEDAR, STANDISH, MI 48658
(989) 846-3407
Mailing address
805 W CEDAR ST, STANDISH, MI 48658-9526
(989) 846-3407
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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