Provider Demographics
NPI:1558532135
Name:BERLINGER, NORMAN THOMAS (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:THOMAS
Last Name:BERLINGER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 MANITOBA AVE
Mailing Address - Street 2:
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-1614
Mailing Address - Country:US
Mailing Address - Phone:952-476-5923
Mailing Address - Fax:
Practice Address - Street 1:320 MANITOBA AVE
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-1614
Practice Address - Country:US
Practice Address - Phone:952-476-5923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-21
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN20158207Y00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology