Individual
MATTHEW C THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5155 55TH ST NW, ROCHESTER, MN 55901-3855
(507) 535-1977
Mailing address
5155 55TH ST NW, ROCHESTER, MN 55901-3855
(507) 535-1977
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
48777
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148652000
—
MN
Enumeration date
07/31/2006
Last updated
08/23/2024
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