Individual
RANDY H THOMPSON
Active
Individual
RANDY H THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
084960
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4730740
—
MI
05
—
4739576
—
MI
01
—
RT084960
BC/BS
MI
Enumeration date
06/23/2006
Last updated
12/15/2014
Update your record
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