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Individual

AGNIESZKA KUBICA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
425 PINE RIDGE BLVD STE 305A, WAUSAU, WI 54401-4124
(715) 847-2626
Mailing address
425 PINE RIDGE BLVD STE 305A, WAUSAU, WI 54401-4124
(715) 847-2626

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
56966
MN
207N00000X
Dermatology Physician
Primary
67696-20
WI

Other

Enumeration date
04/09/2012
Last updated
03/17/2018
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