Organization
ADVANCED HAND AND UPPER EXTREMITY CENTER PC
Active
Organization
ADVANCED HAND AND UPPER EXTREMITY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON DAVID NORBERG MD (PRESIDENT)
(763) 465-4263
Entity
Organization
Contact information
Practice address
9325 UPLAND LN N # 255, MAPLE GROVE, MN 55369
(701) 388-2196
(763) 314-2026
Mailing address
9325 UPLAND LN N STE 255, MAPLE GROVE, MN 55369-4463
(763) 465-4263
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12017
—
MN
01
—
63419
PROFESSIONAL LICENSE
MN
Enumeration date
09/13/2021
Last updated
08/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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