Robert Nordstrom MD

NPI 1639112113 - Radiology - 2085R0202X

NPI Details
NPI 1639112113
Gender Male
Enumeration Date 06/13/2006
Last Updated 08/04/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3050 MONTVALE DR STE A
SPRINGFIELD IL, 62704-6924, US
Phone (217) 726-8096
Fax
Business Location
2040 W ILES AVE STE C
SPRINGFIELD IL, 62704-4183, US
Phone (217) 789-0668
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Illinois
License Number 036105375
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According to our database, Robert Nordstrom MD NPI is 1639112113, taxonomy code is 2085R0202X and license number is 036105375, license state is located at Illinois. Robert Nordstrom MD physically located at 3050 Montvale Dr Ste A, Springfield IL, 62704-6924. NPI Number Robert Nordstrom MD has the Individual type.

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1639112113 NPI number is provided on an as is basis without warranty of any kind. 1639112113 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Nordstrom MD are for informational purposes only.