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General NPI Number Information
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NPI Number | 1306721519
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Entity Type | Individual
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Provider Name | MICHAEL JOHN NORDER RPH
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Gender | Male
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 109 N MARQUETTE RD
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City | PRAIRIE DU CHIEN
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State | WI
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Zip | 53821-1512
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Country | US
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Telephone | 608-326-0581
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Fax |
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Provider Business Mailing Address
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Address Line | 10829 COLOMBUS DR
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City | FERRYVILLE
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State | WI
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Zip | 54628-8167
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Country | US
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Telephone | 262-483-2553
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 109842-40
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License Number State | WI
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