Individual
VICKI JEAN THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7380 FRANCE AVE S, EDINA, MN 55435-4535
(952) 927-7337
(952) 927-8610
Mailing address
7380 FRANCE AVE S, EDINA, MN 55435-4535
(952) 927-7337
(952) 927-8610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22826
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
828788100
—
MN
Enumeration date
05/31/2005
Last updated
07/08/2019
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