Individual
DR. MARY IRENE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3992
SD
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
57172
WI
Other
Enumeration date
02/03/2006
Last updated
03/27/2014
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