Individual
DR. GORDON NORDELL OLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20074
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
20074
WI
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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