Organization
LAKE MICHIGAN SINUS & SLEEP APNEA CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS FRED THOMPSON MD (PRESIDENT)
(269) 982-3368
Entity
Organization
Contact information
Practice address
2680 S. CLEVELAND STREET, SAINT JOSEPH, MI 49085
(269) 982-3368
(269) 983-3238
Mailing address
2680 S. CLEVELAND STREET, SAINT JOSEPH, MI 49085
(269) 982-3368
(269) 983-3238
Taxonomy
Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
4301070920
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4171338
—
MI
Enumeration date
05/08/2007
Last updated
12/31/2009
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