Individual
MARK J THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2566
(608) 324-1114
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2566
(608) 324-1114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44379
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34195300
—
WI
Enumeration date
07/07/2006
Last updated
07/28/2008
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