Individual
DR. DIRK R THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 DREW AVE SE, MADELIA, MN 56062-1841
(507) 642-5200
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788
(407) 533-6837
(407) 770-0661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019003502
MO
207Q00000X
Family Medicine Physician
47119
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA8204004
MEDICARE
MO
Enumeration date
08/02/2006
Last updated
07/13/2025
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