Edra Nordstrom, M.D.

NPI #1063823987 in Saint Paul, Minnesota

Provider Information

NPI Number: 1063823987
Entity Type: Individual
Name: Edra Nordstrom, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: May 13, 2014
Last Updated: Aug 30, 2018

Practice Location

Address: 205 WABASHA ST S
City: Saint Paul
State: Minnesota
ZIP Code: 55107-1805
Phone: (952) 967-5584

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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