| Hallie Thompson, MD | |
|
1245 Washington Ave, Detroit Lakes, MN 56501-3905 | |
| (218) 846-2000 | |
| Not Available |
| Full Name | Hallie Thompson |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
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 |