Individual
JORDAN MATTHEW THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
62103
MN
207W00000X
Ophthalmology Physician
Primary
70092
WI
Other
Enumeration date
04/10/2012
Last updated
07/21/2022
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