Individual
CHARLES W. NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703-5270
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46935
WI
208M00000X
Hospitalist Physician
44786
MN
208M00000X
Hospitalist Physician
Primary
46935
WI
208M00000X
Hospitalist Physician
ME146030
FL
Other
Enumeration date
02/13/2006
Last updated
10/08/2020
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