Individual
ERIC G THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
32924
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0702716
MEDICA HEALTH PLANS
—
01
—
110420
U CARE
—
01
—
2116691
FIRST HEALTH PLAN
—
01
—
474795000
MEDICAL ASSISTANCE MA
—
01
—
50A53TH
BLUE CROSS BLUE SHIELD
—
01
—
763005
ARAZ GROUP
—
01
—
990003
PREFERRED ONE
—
01
—
COMP
MMSI
—
01
—
HP25527
HEALTH PARTNERS
—
Enumeration date
11/21/2005
Last updated
12/13/2011
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