Individual
JARED THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2215 44TH ST SW, WYOMING, MI 49519-6439
(616) 252-8300
Mailing address
2215 44TH ST SW, WYOMING, MI 49519-6439
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101021211
MI
208000000X
Pediatrics Physician
O-1006
ID
Other
Enumeration date
06/16/2014
Last updated
06/05/2024
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