Individual
KIMBERLY K THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1414 W FAIR AVE, SUITE 344, MARQUETTE, MI 49855-2675
(906) 225-3910
Mailing address
26374 NETWORK PL, CHICAGO, IL 60673-1263
(906) 225-3630
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
35088068
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942309778
—
MI
05
—
2685885
—
OH
01
—
P00363877
RR MEDICARE
OH
Enumeration date
09/21/2006
Last updated
06/03/2013
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