Individual
BETHANY JEAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2550 UNIVERSITY AVE W STE 130N, SAINT PAUL, MN 55114-1096
(651) 447-3755
Mailing address
S1765 SIMPSON RD, REEDSBURG, WI 53959-9764
(608) 963-8258
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15153
MN
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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