Individual
JOSHUA ROBERT THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4660 S HAGADORN RD STE 500, EAST LANSING, MI 48823-6804
(517) 432-6144
Mailing address
430 RISEN STAR DR, BOILING SPRINGS, SC 29316-8004
(207) 233-5973
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5151015880
MI
207Q00000X
Family Medicine Physician
LL82953
SC
Other
Enumeration date
07/22/2019
Last updated
05/31/2022
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