Provider Demographics
NPI:1811948995
Name:MORRIS, MARY SACIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:SACIA
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 MIDWEST DR
Mailing Address - Street 2:ALLERGY ASSOCIATES OF LA CROSSE, LTD.
Mailing Address - City:ONALASKA
Mailing Address - State:WI
Mailing Address - Zip Code:54650-6758
Mailing Address - Country:US
Mailing Address - Phone:608-782-2027
Mailing Address - Fax:
Practice Address - Street 1:2727 MIDWEST DR
Practice Address - Street 2:ALLERGY ASSOCIATES OF LA CROSSE, LTD.
Practice Address - City:ONALASKA
Practice Address - State:WI
Practice Address - Zip Code:54650-6758
Practice Address - Country:US
Practice Address - Phone:608-782-2027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI26435207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1811948995Medicaid
IA0941385Medicaid
WI30783700Medicaid
MN010795600Medicaid
SD1811948995Medicaid