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Contact Information

MARK E NORDNESS, MD
240 MAPLE AVENUE
PROHEALTH CARE MEDICAL ASSOCIATES INC.
MUKWONAGO, WI53149
 Phone: 262-928-1900
 Fax: 262-363-1949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARK E NORDNESS · (Male)

NPI # 1457324428
Status Active
Credentials MD
Entity Individual
Enumeration date 02/09/2006
Last updated 11/23/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 41406
  • WI License # 41406-020
  • WI Medicaid 34064800
Hospital affiliation(s)
  • WAUKESHA MEMORIAL HOSPITAL - (Acute Care)
    725 AMERICAN AVE
    WAUKESHA, WI 53188
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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