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Individual

DR. MARK ALLEN JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 VINCENT ST, STEVENS POINT, WI 54481-1842
(715) 997-9813
(715) 344-4494
Mailing address
500 VINCENT ST, STEVENS POINT, WI 54481-1842
(715) 997-9813
(866) 954-5815

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036144643
IL
207X00000X
Orthopaedic Surgery Physician
Primary
70102
WI

Other

Enumeration date
06/18/2013
Last updated
05/11/2022
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