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Individual

TODD M NORDWIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 726-3402
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
71478
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43322400
WI
Enumeration date
10/25/2006
Last updated
07/08/2007
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