| NPI | 1366898371 |
|---|---|
| Other Name | CASEY THOMPSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12199) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MN 12199) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2022-08-04 |