Michael Bartlett Thompson in Kenosha - Podiatrist

Michael Bartlett Thompson - NPI 1346294097

Michael Bartlett Thompson is a Podiatrist in Kenosha, Wisconsin. Michael Bartlett Thompson practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Michael Bartlett Thompson is 1346294097. The last update date is 2008-08-05.

Michael Bartlett Thompson's current location address is 3535 30th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2626576104 and fax number 2626576194. The mailing address for Michael Bartlett Thompson is 3535 30th Ave, Kenosha, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Bartlett Thompson
Address 3535 30th Ave, Kenosha, Wisconsin
Phone Number 2626576104
Fax Number 2626576194
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1346294097
Provider Enumeration Date 2006-05-19
Last Updated Date 2008-08-05

Provider Mailing Address Detail

Address 3535 30th Ave
City Kenosha
State Wisconsin (WI)
Post Code 531441632
Phone Number 2626576104
Fax Number 2626576194

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 343
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
46034 WI PTAN
43208600 WI --

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FAQs about Michael Bartlett Thompson

What is the Michael Bartlett Thompson's 1346294097?

The Michael Bartlett Thompson's NPI (National Provider Identifier) Number is 1346294097. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Michael Bartlett Thompson's facilities are situated?

The facilities of Michael Bartlett Thompson are physically located at the following address: 3535 30Th Ave, Kenosha, WI, 531441632.

What is the Michael Bartlett Thompson's area of specialization and corresponding taxonomy classification?

The Michael Bartlett Thompson's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1346294097 to Michael Bartlett Thompson?

The Centers for Medicare & Medicaid Services originally issued the 1346294097 to Michael Bartlett Thompson on 2006-05-19.

As of what date were the details pertaining to Michael Bartlett Thompson last refreshed?

The information related to the Michael Bartlett Thompson, including its address, specialty, and other relevant details, was last updated on 2008-08-05.

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