Individual
MR. JAY MICHAEL NORBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 W MAIN ST, PIPESTONE, MN 56164-1651
(507) 825-3100
(507) 825-5810
Mailing address
101 W MAIN ST, PIPESTONE, MN 56164-1651
(507) 825-3100
(507) 825-5810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115498
MN
183500000X
Pharmacist
17726
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710577937
—
MN
Enumeration date
01/21/2021
Last updated
03/31/2022
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