Individual
HALLIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1245 WASHINGTON AVE, DETROIT LAKES, MN 56501-3905
(218) 846-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77177
MN
207R00000X
Internal Medicine Physician
RL17408
ND
208M00000X
Hospitalist Physician
19666
ND
Other
Enumeration date
06/08/2021
Last updated
09/27/2024
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