Individual
DANIEL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
704 EMMET ST, PETOSKEY, MI 49770-2910
(231) 838-3958
Mailing address
704 EMMET ST, PETOSKEY, MI 49770-2910
(231) 838-3958
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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