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Individual

DR. JOHN R THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
LOGANSPORT STATE HOSPITAL, 1098 SOUTH STATE ROAD 25, LOGANSPORT, IN 46947
(574) 737-3723
(574) 737-3904
Mailing address
4521 N. CHRISTINA LANE, BLOOMINGTON, IN 47408
(812) 339-6279
(812) 339-6279

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01033340A
IN

Other

Enumeration date
04/10/2006
Last updated
07/08/2007
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