Individual
GINA LYNN NORDSIDEN-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 763-2707
(320) 759-4390
Mailing address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-5123
(320) 763-7883
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
59107
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356661276
—
MN
01
—
59107
MEDICAL LICENSE
MN
01
—
H400224479
MEDICARE - NGS
MN
Enumeration date
06/02/2010
Last updated
08/29/2025
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