Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES R NORDSTROM JR., MD
Active Sole ProprietorCHARLES R NORDSTROM JR., MD is a Gastroenterology healthcare provider located in EAU CLAIRE, Wisconsin. NPI 1528031069 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · EAU CLAIRE, WI
Registration Details
- NPI Number
- 1528031069
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2006 (20.491802939298 yrs)
- Last Updated
- Jan 31, 2012
- License
-
21796 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
127 CANTERBURY RDEAU CLAIRE, WI, 547017105Browse WI providers · Browse ZIP 54701
- Phone
- 7158351884
- Primary Specialty
-
Gastroenterology
207RG0100X
Other Gastroenterology Providers in EAU CLAIRE, WI
| Name | Credential | NPI |
|---|---|---|
| CHRISTIAN M MENDEZ | MD | 1528051554 |
| MYLES DAVID KEROACK | MD | 1013998582 |
| JON WARREN POTTER | D.O. | 1093785180 |
| JAIME ZIGHELBOIM | MD | 1982677423 |
| GREGORY A DERFUS | MD | 1861465304 |
| DR. THOMAS P PELLER | M.D. | 1497715726 |
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.