Individual
DR. NATHAN EVAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 UNION AVE, SHEBOYGAN, WI 53081-8426
(920) 802-2100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036137359
IL
2085R0202X
Diagnostic Radiology Physician
56535
WI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
56535
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100031240
—
WI
Enumeration date
05/06/2010
Last updated
04/02/2025
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