Individual
DR. DENNIS FRED THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2680 S CLEVELAND AVE, SAINT JOSEPH, MI 49085-3002
(269) 982-3368
(269) 983-3238
Mailing address
2680 S CLEVELAND AVE, SAINT JOSEPH, MI 49085-3002
(269) 982-3368
(269) 983-3238
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301070920
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4171338
—
MI
Enumeration date
08/12/2005
Last updated
06/07/2016
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