Individual
JAMES C JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37868 US HIGHWAY 18, PRAIRIE DU CHIEN, WI 53821-8416
(608) 357-2430
Mailing address
37868 US HIGHWAY 18, PRAIRIE DU CHIEN, WI 53821-8416
(608) 357-2430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23393
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47042628511
—
NE
Enumeration date
02/17/2006
Last updated
06/11/2021
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