Individual
SHAUN MICHAEL NORDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-1201
(859) 323-2222
(859) 323-5090
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9316
(214) 648-7236
(214) 648-8025
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
59690
KY
2085R0204X
Vascular & Interventional Radiology Physician
BP20066772
TX
208600000X
Surgery Physician
BP10062891
TX
Other
Enumeration date
04/24/2018
Last updated
11/13/2024
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