Individual
MICHAEL JAMES NORDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 IRVING SCHOTTENSTEIN DR., COLUMBUS, OH 43220
(614) 201-9226
Mailing address
4438 MOBILE DRIVE APT. 302, COLUMBUS, OH 43220
(605) 201-9226
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.005097
OH
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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