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Individual

CRAIG CHARLES THAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
955 MAIN ST, SUITE 303, WINCHESTER, MA 01890-1961
(781) 729-3870
Mailing address
955 MAIN ST, SUITE 303, WINCHESTER, MA 01890-1961
(781) 729-3870

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1044
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y35738
BLUE CROSS BLUE SHIELD OF
MA
Enumeration date
04/23/2007
Last updated
07/08/2007
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