Individual
JORDAN E THALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2912 BIRCH HOLLOW DR APT 1A, ANN ARBOR, MI 48108-2314
(914) 282-2072
Mailing address
2912 BIRCH HOLLOW DR APT 1A, ANN ARBOR, MI 48108-2314
(914) 282-2072
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86379383
MI
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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