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Individual

TEIGHAN THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0623
Mailing address
12656 88TH PL N, MAPLE GROVE, MN 55369-3027
(621) 210-7529

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/04/2021
Last updated
04/01/2026
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