Individual
DR. DEREK B NORDEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2700 NATIONAL DR STE 102, ONALASKA, WI 54650-6709
(608) 783-3636
(608) 783-3639
Mailing address
2700 NATIONAL DR STE 102, ONALASKA, WI 54650-6709
(608) 783-3636
(608) 783-3639
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5311-0015
WI
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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