Individual
SUSAN J THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 MOUNTAIN ST E, CAVALIER, ND 58220-4015
(701) 265-6307
(701) 265-6387
Mailing address
301 MOUNTAIN ST E, CAVALIER, ND 58220-4015
(701) 265-8461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7881
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110194388
MEDICARE RAILROAD
—
Enumeration date
10/06/2006
Last updated
07/25/2022
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