Individual
MIKE NORDBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 2ND ST SW, SUITE 1, WADENA, MN 56482-1417
(218) 631-1714
Mailing address
11 2ND ST SW, SUITE 1, WADENA, MN 56482-1417
(218) 631-1714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578582565
—
MN
Enumeration date
01/11/2008
Last updated
01/11/2008
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