Individual
JEAN ANN THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
933 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4626
(712) 396-6311
(712) 396-4389
Mailing address
1854 S 88TH ST, OMAHA, NE 68124-1378
(402) 332-8381
(308) 568-7454
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
24017
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD-39959
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026527501
—
NE
05
—
1326249749
—
IA
Enumeration date
05/31/2007
Last updated
01/05/2021
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