# DR. JON DAVID NORBERG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407850225
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 63419 | MN | Yes |
| 207X00000X | Orthopaedic Surgery Physician | 9161 | ND | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | 63419 | MN | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | 63419 | MN | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | 9161 | ND | — |

## Other

- **Enumeration date:** 06/09/2005
- **Last updated:** 10/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12017 | — | ND |
| 05 | — | 278676100 | — | MN |
| 01 | — | 307M9NO | MN BLUE SHIELD | MN |
| 01 | — | 63419 | PROFESSIONAL LICENSE | MN |
| 01 | — | NOR24461 | ND BLUE SHIELD | ND |
| 01 | — | P00139507 | PALMETTO GBA-RR MEDICARE | ND |