Basic Information
Provider Information
NPI: 1205828035
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NORR
FirstName: SIGMUND
MiddleName: CARL
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2571 EDGEWOOD RD
Address2:  
City: BEACHWOOD
State: OH
PostalCode: 441221558
CountryCode: US
TelephoneNumber: 2163824775
FaxNumber:  
Practice Location
Address1: 2640 W MARKET ST
Address2:  
City: FAIRLAWN
State: OH
PostalCode: 443334202
CountryCode: US
TelephoneNumber: 3308641916
FaxNumber: 3308641924
Other Information
ProviderEnumerationDate: 08/18/2005
LastUpdateDate: 08/14/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X35046331OHY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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