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Individual

MS. RONALD H THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
FROEDTERT HOSPITAL, 9200 WEST WISCONSIN AVENUE, MILWAUKEE, WI 53226
(414) 456-6907
Mailing address
12915 PRESIDENT AVE, BROOKFIELD, WI 53005-8028
(262) 785-1621

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
171
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42927400
WI
Enumeration date
05/15/2006
Last updated
07/08/2007
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