Individual
NICHOLAS RAYMOND THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
711 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9108
(715) 284-1354
Mailing address
610 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9010
(715) 284-4311
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001381A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
1178-25
WI
Other
Enumeration date
07/05/2018
Last updated
04/01/2025
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