Organization
JUNITH M. THOMPSON, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNITH M. THOMPSON M.D. (OWNER/PRESIDENT)
(262) 657-8360
Entity
Organization
Contact information
Practice address
6530 SHERIDAN ROAD, SUITE 9, KENOSHA, WI 53143-5063
(262) 657-8360
(262) 657-8389
Mailing address
6530 SHERIDAN ROAD, SUITE 9, KENOSHA, WI 53143-5063
(262) 657-8360
(262) 657-8389
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29980-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31520900
—
WI
Enumeration date
11/02/2010
Last updated
03/07/2023
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