Individual
DODSON W THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
600 W SHELL CREEK ROAD, MINONG, WI 54859
(715) 466-2201
(715) 466-2205
Mailing address
600 W SHELL CREEK ROAD, MINONG, WI 54859
(715) 466-2201
(715) 466-2205
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3663
IA
207Q00000X
Family Medicine Physician
Primary
50799
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43546100
—
WI
Enumeration date
10/10/2006
Last updated
11/11/2008
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