Individual
DR. CORY J INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
(507) 422-0985
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
(507) 422-0985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
016883
ME
207QG0300X
Geriatric Medicine (Family Medicine) Physician
48471
MN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
48471
MN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
48471
MN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
68665
WI
Other
Enumeration date
03/28/2006
Last updated
08/14/2020
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