Provider Demographics
NPI:1588142855
Name:MORRISON, STEWART GRAEME (MBBS)
Entity type:Individual
Prefix:DR
First Name:STEWART
Middle Name:GRAEME
Last Name:MORRISON
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF ORTHOPAEDICS UNIVERSITY OF MINNESOTA
Mailing Address - Street 2:2450 RIVERSIDE AVE R200
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55454
Mailing Address - Country:US
Mailing Address - Phone:612-268-9185
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF ORTHOPAEDICS UNIVERSITY OF MINNESOTA
Practice Address - Street 2:2450 RIVERSIDE AVE R200
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454
Practice Address - Country:US
Practice Address - Phone:612-268-9185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2019-04-12
Deactivation Date:2019-03-08
Deactivation Code:
Reactivation Date:2019-04-12
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MED0001208459OtherAUSTRALIAN MEDICAL REGISTRATION
MED0001208459OtherAUSTRALIAN AHPRA REGISTRATION NUMBER