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Individual

DR. MICHAEL L NORDLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1945 CEI DRIVE, CINCINNATI, OH 45242-3311
(513) 984-5133
(513) 984-4240
Mailing address
1945 CEI DRIVE, CINCINNATI, OH 45242-3311
(513) 984-5133
(513) 569-3741

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35078181
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000111066
BCBS
01
180044759
RR MEDICARE
IN
05
200345610
IN
05
2215525
OH
05
64017205
KY
01
P00217688
RR MEDICARE
OH
Enumeration date
06/28/2006
Last updated
07/21/2022
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