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Individual

MICHAEL NELSON NORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6427 W GIRARD AVE, MILWAUKEE, WI 53210-1310
(414) 449-3678
(414) 449-3728
Mailing address
6427 W GIRARD AVE, MILWAUKEE, WI 53210-1310
(414) 449-3678
(414) 449-3728

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
09/16/2013
Last updated
09/16/2013
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