Individual
MARC EVAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 COOPER AVE, SAGINAW, MI 48602-5394
(989) 752-1177
(989) 752-2923
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 752-1177
(989) 752-2923
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
5601007006
MI
363AS0400X
Surgical Physician Assistant
Primary
5601007006
MI
Other
Enumeration date
05/05/2014
Last updated
03/26/2021
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