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Individual

ANNE JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
145 W CALUMET ST, APPLETON, WI 54915-4934
(920) 967-4141
Mailing address
145 W CALUMET ST, APPLETON, WI 54915-4934
(920) 967-4141
(833) 972-1585

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301105639
MI
207Q00000X
Family Medicine Physician
Primary
71104-20
WI

Other

Enumeration date
06/16/2014
Last updated
11/13/2024
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