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CHARLES R NORDSTROM JR. MD
NPI 1528031069
Internal Medicine - Gastroenterology in Eau Claire, WI

Active since February 07, 2006
127 CANTERBURY RD, EAU CLAIRE, WI 54701(715) 835-1884 Get Directions Write a Review

NPPES record last updated: January 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles R Nordstrom Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES R NORDSTROM JR. MD (NPI 1528031069) is an individual gastroenterology provider in Eau Claire, Wisconsin, licensed in Wisconsin (21796) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1528031069
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameCHARLES R NORDSTROM JR.Credential: MD
Location Address127 CANTERBURY RDEau Claire, WI 54701-7105
Mailing Address127 Canterbury RdEau Claire, WI 54701-7105 · (715) 835-1884
Phone(715) 835-1884
Sole ProprietorYes
Enumeration DateFebruary 7, 2006
Last NPPES UpdateJanuary 31, 2012
✔ NPI 1528031069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WI · 21796
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
127 CANTERBURY RD, Eau Claire, WI 54701
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Other Identifiers 5

Medicaid30184300WI
Medicare UPINB55403
Medicare ID-Type Unspecified0060 20195WI
Medicare PIN0167 00507WI
Medicare PIN0123 00502WI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Nordstrom's NPI number?

The NPI number for Charles Nordstrom is 1528031069. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Charles Nordstrom located?

Charles Nordstrom practices at 127 Canterbury Rd, Eau Claire, WI 54701. The listed phone number is (715) 835-1884.

What is Charles Nordstrom's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Charles Nordstrom was last updated on January 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.