Individual
DR. MICHAEL ALAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-8800
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 434-8800
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
50219
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00134629
DPS NUMBER
TX
05
—
34786300
—
WI
01
—
L8976
TX MEDICAL LICENSE
TX
Enumeration date
07/21/2006
Last updated
10/09/2023
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