National Provider Identifier Database

CHARLES R NORDSTROM JR, MD – NPI #1528031069
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

CHARLES R NORDSTROM JR, MD
127 CANTERBURY RD
EAU CLAIRE, WI54701-7105
Phone: 715-835-1884
Fax:
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X

* Indicates primary specialty

NPI Profile & details for CHARLES R NORDSTROM JR

NPI Number 1528031069
Credentials MD
Entity Individual
Enumeration date 02/07/2006
Last updated 01/31/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • WI License #: 21796
  • WI Medicaid: 30184300
Hospital affiliation n/a

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.

Reviews for CHARLES R NORDSTROM JR, MD

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