Individual
JOFFREY G THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4018
(701) 746-7521
(701) 795-2553
Mailing address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4018
(701) 746-7521
(701) 795-2553
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
8649
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015D3TH
BCBS MN
MN
01
—
020006
BCBS ND
ND
05
—
11443
—
ND
01
—
5613280001
AMINISTAR
—
Enumeration date
01/27/2006
Last updated
12/27/2007
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