Larry Glen Thompson MD; PC

NPI 1023025426 - Legal Medicine - 173000000X

NPI Details
NPI 1023025426
Gender Male
Enumeration Date 08/01/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4125 CEDAR RUN RD
TRAVERSE CITY MI, 49684-6942, US
Phone (231) 947-1886
Fax (231) 932-9798
Business Location
PO BOX 721
4125 CEDAR RUN RD
TRAVERSE CITY MI, 49685-0721, US
Phone (231) 947-1886
Fax (231) 932-9798
Toxanomy
Taxonomy Code 173000000X
License State Michigan
License Number 29989
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According to our database, Dr. Larry Glen Thompson MD; PC NPI is 1023025426, taxonomy code is 173000000X and license number is 29989, license state is located at Michigan. Larry Glen Thompson MD; PC physically located at 4125 Cedar Run Rd, Traverse City MI, 49684-6942. NPI Number Larry Glen Thompson MD; PC has the Individual type.

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1023025426 NPI number is provided on an as is basis without warranty of any kind. 1023025426 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Glen Thompson MD; PC are for informational purposes only.