Individual
MICHAEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 749-6100
Mailing address
PO BOX 442157, LAWRENCE, KS 66044-8933
(785) 749-3400
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
04-28911
KS
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
04-28911
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058798
BCBS
KS
05
—
100370350A
—
KS
01
—
220029505
RAILROAD MEDICARE
—
Enumeration date
01/30/2006
Last updated
10/28/2013
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