Individual
AVA M ADAMS-MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
101 MARTIN LUTHER KING DR, MANKATO, MN 56001-6460
(507) 385-6500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44889
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8HI009
MEDICARE PTAN
MN
Enumeration date
12/14/2005
Last updated
10/08/2008
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