Individual
DR. CHENEY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301051352
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104797195
—
MI
01
—
23D1049104
CLEA
MI
Enumeration date
02/15/2007
Last updated
03/07/2023
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