Individual
CARLOS E MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 MANKATO AVE, BOX 5600, WINONA, MN 55987-4868
(507) 457-4484
(507) 457-4160
Mailing address
855 MANKATO AVE, PO BOX 5600, WINONA, MN 55987-4868
(507) 457-4160
(507) 457-4160
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39837
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34259200
MA
WI
01
—
58G99M0
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/17/2006
Last updated
07/08/2007
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