Individual
MICHAEL JAY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 365-3100
Mailing address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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