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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK E. NORDNESS, M.D.

Active

MARK E. NORDNESS, M.D. is a Allergy & Immunology healthcare provider located in MUKWONAGO, Wisconsin. NPI 1457324428 is currently active in the NPPES registry. Verify at CMS.

Allergy & Immunology · MUKWONAGO, WI

Registration Details

NPI Number
1457324428
Provider Type
Individual
Gender
Male
NPI Issued
Feb 9, 2006 (20.528717361893 yrs)
Last Updated
Nov 23, 2011
Licenses
41406 (WI)
41406-020 (WI)

Practice Information

Address
240 MAPLE AVENUE
PROHEALTH CARE MEDICAL ASSOCIATES INC.
MUKWONAGO, WI, 53149
Browse WI providers · Browse ZIP 53149
Phone
2629281900
Fax
2623631949
Primary Specialty
Allergy & Immunology
207K00000X
Additional Specialty
Pediatrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.