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
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