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NPI Code Detail

MEDICARE: AMANDA NORRIS D.O.

MEDICARE:   AMANDA  NORRIS  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician60537MN

General Provider Information

NPI Number : 1841600012
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA NORRIS D.O.
Provider Business Mailing Address
First Line : 2925 CHICAGO AVENUE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 612-262-5000
Fax Number :
Provider Business Practice Location Address
First Line : 755 CROSSROADS CAMPUS DR NE
Second Line :
City : BUFFALO
State : MN
Zip : 55313-5074
Country : US
Telephone Number : 763-684-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2014
Last Update Date : 08/10/2017

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Directions to “ AMANDA NORRIS D.O.” Practice Location

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