| NPI | 1689343600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON DAVID NORBERG President 763-465-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2022-08-21 |