IndividualActive
Charles Nordstrom, MD
NPI 1528031069 · Gastroenterology Physician · Eau Claire, WI
Provider details
- NPI number
- 1528031069
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 21796 (WI)
Mailing address
127 Canterbury Rd
Eau Claire, WI 54701-7105
Registry dates
- Enumerated
- 2006-02-07
- Last updated
- 2012-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.