Healthcare Provider Details

I. General information

NPI: 1710862545
Provider Name (Legal Business Name): NOELLE THOMPSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 FRANK LLOYD WRIGHT DRIVE LOBBY A, SUITE 1200
ANN ARBOR MI
48105
US

IV. Provider business mailing address

24 FRANK LLOYD WRIGHT DR LOBBY A, SUITE 1200
ANN ARBOR MI
48105-9484
US

V. Phone/Fax

Practice location:
  • Phone: 734-998-6022
  • Fax:
Mailing address:
  • Phone: 734-998-6022
  • Fax: 734-998-6696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: