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Individual

PAUL DAVID THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2014 S 6TH ST, BRAINERD, MN 56401
(218) 829-7812
(218) 829-9751
Mailing address
400 E 3RD ST MCL2CRED, DULUTH, MN 55805-1951
(218) 786-3146
(218) 722-8792

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
43808
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
694428100
MN
Enumeration date
07/29/2005
Last updated
08/30/2018
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