Individual
BRENT C THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 OAKWOOD BLVD, DEARBORN, MI 48124-2319
(313) 359-7650
(313) 359-7660
Mailing address
PO BOX 2802, DEARBORN, MI 48123-2929
(313) 359-7650
(313) 359-7660
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301054175
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3082556
—
MI
Enumeration date
06/26/2006
Last updated
05/28/2008
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