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NPI Code Detail

MEDICARE: JENNIFER A NORDEN MD

MEDICARE: JENNIFER A NORDEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician41767WI

General Provider Information

NPI Number : 1952396368
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER A NORDEN MD
Provider Business Mailing Address
First Line : 122 E COLLEGE AVE
Second Line :
City : APPLETON
State : WI
Zip : 54911-5794
Country : US
Telephone Number : 920-996-3264
Fax Number : 920-830-5910
Provider Business Practice Location Address
First Line : 333 N GREEN BAY RD
Second Line :
City : NEENAH
State : WI
Zip : 54956-1954
Country : US
Telephone Number : 920-725-2070
Fax Number : 920-725-4549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 03/17/2018

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