Nordness, Mark E.

Nordness, Mark E. is an individual health care provider with primary practice located at 240 Maple Avenue Prohealth Care Medical Associates Inc., Mukwonago WI 53149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Nordness, Mark E. can be contacted via phone (262) 928-1900.

Contact Information

Primary practice address
240 Maple Avenue Prohealth Care Medical Associates Inc. Mukwonago WI 53149
Phone: (262) 928-1900
Fax: (262) 363-1949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 41406 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 41406-020 Wisconsin

Profile Details

NPI number 1457324428
LBN Legal business name Nordness, Mark E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Nov 23rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457324428 NPPES
Wisconsin MEDICAID 34064800

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