Individual
ELLEN CAMPBELL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14050 FAIRVIEW DR, BURNSVILLE, MN 55337-4571
(952) 883-8700
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
72386
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/15/2017
Last updated
08/19/2022
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