Individual
SEAN K THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1122 W HIGHWAY 61, WINONA, MN 55987-1957
(507) 615-0600
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
288
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38629400
—
WI
Enumeration date
06/02/2006
Last updated
08/15/2022
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