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Individual

WILLIAM C THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
715 S 8TH ST, MINNEAPOLIS, MN 55404-1210
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12199
MN
363AS0400X
Surgical Physician Assistant
12199
MN

Other

Enumeration date
05/09/2016
Last updated
08/04/2022
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