Individual
JEROME I THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
737 BROADWAY N, FARGO, ND 58122-0001
(701) 234-4811
(701) 234-6979
Mailing address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5283
(218) 759-5279
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20833
MN
Other
Enumeration date
07/07/2006
Last updated
03/24/2008
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