Individual
SEAN M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, ROOM DG412, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
(317) 963-5492
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01069585A
IN
208000000X
Pediatrics Physician
01069585
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201055930
—
IN
Enumeration date
05/13/2009
Last updated
11/15/2024
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