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Individual

MR. NATHAN THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
500 MAIN ST, NORWAY, MI 49870-1238
(906) 563-9255
(906) 563-9706
Mailing address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3637
(906) 774-1313

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704281247
MI
363L00000X
Nurse Practitioner
6690-33
WI

Other

Enumeration date
11/03/2015
Last updated
12/09/2015
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