Individual
MARY BIALAS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
100 WOODS CIR, SUITE 200, ALPENA, MI 49707-1444
(989) 356-4507
Mailing address
3788 MONAGHAN POINT RD, ALPENA, MI 49707-8856
(989) 595-5227
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704120818
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008767580
BCBS
MI
Enumeration date
04/02/2007
Last updated
07/08/2007
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