Organization
THEO PEDIATRIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LOREN THOMPSON MD (OWNER)
(612) 840-4156
Entity
Organization
Contact information
Practice address
1219 1/2 TURNER ST, LANSING, MI 48906-4341
(612) 840-4156
(888) 859-9497
Mailing address
PO BOX 43, MASON, MI 48854-0043
(517) 604-6177
(517) 604-6184
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301103705
MI
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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