Individual
RICHARD JOHN MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12000 ELM CREEK BLVD, SUITE 200, MAPLE GROVE, MN 55369-7073
(763) 420-1010
Mailing address
12000 ELM CREEK BLVD, SUITE 200, MAPLE GROVE, MN 55369-7073
(763) 420-1010
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
24015
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200077
MEDICA
—
01
—
101052F031
UCARE
MN
01
—
106538
CHOICE PLUS
MN
05
—
112892200
—
MN
01
—
677940509002
PREFERREDONE
MN
01
—
768936
AMERICAS PPO
MN
01
—
99D92MO
BLUE CROSS AND BLUE SHIEL
MN
01
—
HP11066
HEALTHPARTNERS
MN
01
—
P00271408
RAILROAD MEDICARE
—
Enumeration date
07/28/2006
Last updated
06/23/2008
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