Individual
BRIAN R THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3605 MAYFAIR AVE, HIBBING, MN 55746-2935
(218) 262-3441
(218) 362-6989
Mailing address
3605 MAYFAIR AVE, HIBBING, MN 55746-2935
(218) 262-3441
(218) 362-6989
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
47805
MN
207Q00000X
Family Medicine Physician
Primary
47805
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004150500
—
MN
01
—
080016056
MEDICARE
MN
Enumeration date
03/14/2006
Last updated
09/13/2013
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