Individual
DR. JASON C TOMPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31 N SAINT JOSEPH AVE, NILES, MI 49120-2207
(269) 687-5510
(269) 684-0189
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
4301083277
MI
207RI0200X
Infectious Disease Physician
Primary
64047
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801109021
BCBS PIN
MI
01
—
1538397120
GROUP NPI
MI
01
—
27-0381199
GROUP TAX ID
MI
05
—
4616440
—
MI
01
—
P00874046
RR MEDCIARE
MI
Enumeration date
06/30/2006
Last updated
03/07/2023
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