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Contact Information

TRACEY B THOMPSON, MD
1200 SIXTH AVE NO
CENTRA CARE CLINIC
SAINT CLOUD, MN56303
 Phone: 320-240-2832
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TRACEY B THOMPSON · (Female)

NPI Number 1194927202
Status Active
Credentials MD
Entity Individual
Enumeration date 06/01/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 32926
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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