Individual
JO E NORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6868
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39432
IA
207Q00000X
Family Medicine Physician
Primary
52315-020
WI
207Q00000X
Family Medicine Physician
61162
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629291828
—
IA
Enumeration date
04/10/2007
Last updated
10/12/2016
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