Individual
MRS. ELEANOR KATHRYN ERICKSON THACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
105 WORDEN AVE, ANN ARBOR, MI 48103-4031
(919) 357-4544
Mailing address
105 WORDEN AVE, ANN ARBOR, MI 48103-4031
(919) 357-4544
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1048912
MI
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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