Dr. Jon David Norberg
Orthopaedic Surgeon Surgery of the Hand Orthopaedic Hand Surgeon
9325 Upland Ln N Ste 255
Maple Grove
, Minnesota 55369-4463
Dr. Jon David Norberg
Orthopaedic Surgeon Surgery of the Hand Orthopaedic Hand Surgeon
9325 Upland Ln N Ste 255
Maple Grove
, Minnesota 55369-4463
(701) 388-2196
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About
Features
Specialties
- Orthopaedic Surgeon
- Orthopaedic Hand Surgeon
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Dr. Jon David Norberg
- 18898 100th Pl N
- Maple Grove, MN
- Zip : 55311-2269
- Phone : (701) 388-2196
Second Address
- Dr. Jon David Norberg
- 9325 Upland Ln N Ste 255
- Maple Grove, MN
- Zip : 55369-4463
- Phone : (701) 388-2196
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 9161 | ND |
| Y | 207XS0106X | Orthopaedic Hand Surgeon | 63419 | MN |
| N | 2086S0105X | Surgery of the Hand | 63419 | MN |
| N | 2086S0105X | Surgery of the Hand | 9161 | ND |
National Provider Identifier
| NPI | 1407850225 |
|---|---|
| Provider Name | Dr. Jon David Norberg |
| First Address | Maple Grove, MN 55311-2269 |
| Second Address | Maple Grove, MN 55369-4463 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2005 |
| Last Update Date | 23/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 12017 | (05) | ND |
| 278676100 | (05) | MN |
| 307M9NO | MN BLUE SHIELD (01) | MN |
| 63419 | PROFESSIONAL LICENSE (01) | MN |
| H66982 | (02) | ND |
| NOR24461 | ND BLUE SHIELD (01) | ND |
| P00139507 | PALMETTO GBA-RR MEDICARE (01) | ND |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.