Individual
JOSEPH MICHAEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 232-2000
Mailing address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 232-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14115
MN
363AM0700X
Medical Physician Assistant
005360
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2020
Last updated
08/15/2022
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