Individual
MARK A THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
28295 SCHOENHERR RD, SUITE C, WARREN, MI 48088-4300
(586) 573-6669
(586) 573-6667
Mailing address
28295 SCHOENHERR RD, SUITE C, WARREN, MI 48088-4300
(586) 573-6669
(586) 573-6667
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003403
MI
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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