| Doctor Name: | DR. MICHAEL J. THOMPSON |
| NPI Number: | 1306885041 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101055690 |
| Business Practice Address: | 1004 First Colonial Rd Suite 103 Virginia Beach, VA - 23454 |
| Business Phone Number: | 7579626262 |
| Business Fax Number: | 7579621185 |
| Mailing Address: | 1004 First Colonial Rd, Suite 103 VIRGINIA BEACH |
| State: | VA |
| Postal Code: | 23454 |
| Phone Number: | 7579626262 |
| Fax Number: | 7579621185 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 10/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101055690 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |