Individual
MICHAEL ANDREW JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 NICOLLET MALL STE 2000, MINNEAPOLIS, MN 55402-2708
(612) 338-4861
(612) 333-8306
Mailing address
825 NICOLLET MALL STE 2000, MINNEAPOLIS, MN 55402-2708
(612) 338-4861
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
65545
MN
207WX0109X
Neuro-ophthalmology Physician
65545
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2015
Last updated
07/01/2022
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