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Individual
DR. MARK ALLEN JORDAN
Active
Individual
DR. MARK ALLEN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036144643
IL
207X00000X
Orthopaedic Surgery Physician
Primary
70102
WI
Other
Enumeration date
06/18/2013
Last updated
05/11/2022
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