Individual
TRACEY B THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 SIXTH AVE NO, CENTRA CARE CLINIC, ST CLOUD, MN 56303
(320) 240-2832
Mailing address
1200 SIXTH AVE NO, CENTRA CARE CLINIC, ST CLOUD, MN 56303
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
32926
MN
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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