Provider Demographics
NPI:1861712861
Name:THOMPSON, WAYNE WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:WILLIAM
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1651 SAUNDERS AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-2430
Mailing Address - Country:US
Mailing Address - Phone:651-699-4974
Mailing Address - Fax:651-695-0345
Practice Address - Street 1:1651 SAUNDERS AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-2430
Practice Address - Country:US
Practice Address - Phone:651-699-4974
Practice Address - Fax:651-695-0345
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-02
Last Update Date:2025-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN14293207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery