Individual
DEBRA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6577
(414) 649-5940
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 649-6577
(414) 649-5940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48852020
WI
207RI0200X
Infectious Disease Physician
48852-020
WI
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
48852
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003352
—
WI
Enumeration date
01/25/2007
Last updated
11/30/2021
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