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1528031069
CHARLES R NORDSTROM
EAU CLAIRE, WI
NPI
1528031069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: WI 21796)
Enumeration Date
2006-02-07
Last Update Date
2012-01-31
Business Address
-- CHARLES R NORDSTROM MD
127 CANTERBURY RD
EAU CLAIRE, WI 54701-7105
Phone number: 715-835-1884
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Mailing Address
-- CHARLES R NORDSTROM MD
127 CANTERBURY RD
EAU CLAIRE, WI 54701-7105
Phone number: 715-835-1884
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