Healthcare Provider Details

I. General information

NPI: 1487580312
Provider Name (Legal Business Name): CONNOR METZGER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E 1ST ST
MORRIS MN
56267-1408
US

IV. Provider business mailing address

9 RIVERVIEW DR
MORRIS MN
56267-9475
US

V. Phone/Fax

Practice location:
  • Phone: 320-349-0102
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number3361
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: