Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 21646 | NE |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 21646 | NE |
NPI | 1154337251 |
---|---|
Provider Name | Dr. Michael C Thompson |
First Address | Omaha, NE 68144-5253 |
Second Address | Omaha, NE 68144-5253 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 30/12/2020 |