Individual
DR. MARK STANLEY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
826 W KING ST, OWOSSO, MI 48867-2120
(517) 487-5585
(517) 487-1129
Mailing address
1031 E SAGINAW ST, LANSING, MI 48906-5519
(517) 487-5585
(517) 487-1129
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301074209
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38 3694638
TAX ID
MI
05
—
4625860
—
MI
Enumeration date
01/23/2007
Last updated
02/15/2019
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