Individual
CHARLES L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
225 N BENTON DR, SUITE 105, SAUK RAPIDS, MN 56379-1575
(320) 252-2225
(320) 252-2159
Mailing address
225 N BENTON DR, SUITE 105, SAUK RAPIDS, MN 56379-1575
(320) 252-2225
(320) 252-2159
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2753
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63870TH
BLUE CROSS AND BLUE SHIEL
MN
Enumeration date
02/06/2007
Last updated
07/08/2007
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