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Octavia Thompson

NPI 1588334312 · on the registry since 2021

Practice

Address
49970 Van Dyke Ave
Shelby Township, MI 48317
Phone
(586) 991-6596
Fax
(248) 712-4381
Clinicians at this address
28

Registry record

Primary taxonomy
156F00000X
156F00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan