Individual
KIM YUNG SOOK THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2275 DEMING WAY, SUITE 240, MIDDLETON, WI 53562-5527
(608) 662-7762
(608) 662-7769
Mailing address
2275 DEMING WAY, SUITE 240, MIDDLETON, WI 53562-5527
(608) 662-7762
(608) 662-7769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49839-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49839-21
MEDICAL LICENSE
WI
Enumeration date
04/25/2008
Last updated
04/25/2008
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