Individual
RACHEL NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVENUE, 1P, MILWAUKEE, WI 53226
(414) 805-6450
Mailing address
9200 W WISCONSIN AVE # 1P, MILWAUKEE, WI 53226-3522
(414) 805-6450
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
70105
WI
207P00000X
Emergency Medicine Physician
Primary
A186094
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285163931
—
WI
Enumeration date
06/07/2017
Last updated
10/05/2023
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