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Individual

MATTHEW THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
H.I.S.

Contact information

Practice address
4038 E TOWNE BLVD, MADISON, WI 53704-3734
(608) 240-2900
Mailing address
140 CORPORATE DR, SUITE 1, BEAVER DAM, WI 53916-1281
(920) 887-9655

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1117-060
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42836500
WI
Enumeration date
10/15/2007
Last updated
10/15/2007
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