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Individual

DR. MICHAEL ANTHONY MORRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
785 SOUTH HIGHWAY 59, MAHNOMEN, MN 56557-5007
(218) 936-2020
(218) 935-5541
Mailing address
785 SOUTH HIGHWAY 59, PO BOX 339, MAHNOMEN, MN 56557-5007
(218) 936-2020
(218) 935-5541

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2977
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051127011
METROPOLITAN HEALTH PLAN
MN
01
0559830003
DMERC
MN
01
2202521
MEDICA
MN
01
316K0MO
BCBS
MN
01
316KOMO
NATIONAL TRIBAL CLAIMS CE
MN
01
411895571102
UNICARE
MN
01
483361046248
PREFERRED ONE
MN
05
512428000
MN
Enumeration date
07/11/2006
Last updated
07/08/2007
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