Hallie Thompson, MD | |
1245 Washington Ave, Detroit Lakes, MN 56501-3905 | |
(218) 846-2000 | |
Not Available |
Full Name | Hallie Thompson |
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Gender | Female |
Speciality | Internal Medicine |
Location | 1245 Washington Ave, Detroit Lakes, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366019440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | RL17408 (North Dakota) | Secondary |
208M00000X | Hospitalist | 19666 (North Dakota) | Secondary |
207R00000X | Internal Medicine | 77177 (Minnesota) | Primary |
Entity Name | Sanford Medical Center Fargo |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
Mailing Address | Practice Location Address |
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Hallie Thompson, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Hallie Thompson, MD 1245 Washington Ave, Detroit Lakes, MN 56501-3905 Ph: (218) 846-2000 |
Ritesh Singh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Stephen P Nordmark, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 Fax: 218-846-2114 | |
Shivan Kulasingham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Nicole Marie Cox, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 | |
Meenakshi Punj, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-844-2444 |