Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 24015 | MN |
NPI | 1023022613 |
---|---|
Provider Name | Richard John Morris |
First Address | Maple Grove, MN 55369-7073 |
Second Address | Maple Grove, MN 55369-7073 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 23/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0200077 | MEDICA (01) | |
101052F031 | UCARE (01) | MN |
106538 | CHOICE PLUS (01) | MN |
112892200 | (05) | MN |
677940509002 | PREFERREDONE (01) | MN |
768936 | AMERICAS PPO (01) | MN |
99D92MO | BLUE CROSS AND BLUE SHIEL (01) | MN |
A95164 | (02) | |
HP11066 | HEALTHPARTNERS (01) | MN |
P00271408 | RAILROAD MEDICARE (01) |