Individual
DR. CORY ROBERT NORDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-0000
Mailing address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-0000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
62159
MN
2085R0204X
Vascular & Interventional Radiology Physician
62159
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679771521
—
MN
Enumeration date
07/03/2007
Last updated
12/06/2021
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