Individual
ALICE GALLO DE MORAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN 14612
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
107094
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
56880
MN
207RP1001X
Pulmonary Disease Physician
Primary
56880
MN
Other
Enumeration date
07/06/2010
Last updated
08/13/2020
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