Individual
MELANIE M. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
N143W6515 PIONEER RD, CEDARBURG, WI 53012-2705
(262) 377-6933
(262) 376-2495
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CSMCP CLINC CREDENTIALING, GLENDALE, WI 53212-1082
(262) 377-6933
(262) 376-2495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32475300
—
WI
Enumeration date
02/08/2006
Last updated
06/11/2012
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