Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 37464 | MN |
N | 207QS0010X | Family Doctor - Sports Medicine | 38868 | WI |
NPI | 1023194016 |
---|---|
Provider Name | Dr. Patrick J Morris |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01-14530 | MEDICA CHOICE (01) | |
01-14531 | MEDICA PRIMARY (01) | |
01-24276 | MEDICA CHOICE/SMILEY'S (01) | |
0569624 | (05) | IA |
1011821 | PREFERRED ONE (01) | |
107817 | UCARE (01) | |
32301200 | (05) | WI |
799T5MO | BLUE CROSS BLUE SHIELD (01) | |
88303 | ARAZ (01) | |
G18690 | (02) | |
HP20684 | HEALTH PARTNERS (01) |