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Individual

NATHANIEL THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2000
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4855

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021-01875
NC
207R00000X
Internal Medicine Physician
R-10598
IA

Other

Enumeration date
06/13/2016
Last updated
12/01/2021
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