| Middle River to Acqui Terme | 4,169.84 mi (6,710.71 km) |
| Middle River to Acri | 4,700.87 mi (7,565.33 km) |
| Middle River to Adelfia | 4,664.99 mi (7,507.58 km) |
| Middle River to Adrano | 4,701.14 mi (7,565.76 km) |
| Middle River to Adria | 4,311.79 mi (6,939.16 km) |
| Middle River to Afragola | 4,556.17 mi (7,332.44 km) |
| Middle River to Agliana | 4,305.47 mi (6,928.98 km) |
| Middle River to Agrate Brianza | 4,178.90 mi (6,725.29 km) |
| Middle River to Agrigento | 4,657.16 mi (7,494.97 km) |
| Middle River to Agropoli | 4,606.66 mi (7,413.70 km) |
| Middle River to Ala | 4,243.85 mi (6,829.81 km) |
| Middle River to Alassio | 4,178.33 mi (6,724.37 km) |
| Middle River to Alatri | 4,483.76 mi (7,215.92 km) |
| Middle River to Alba | 4,150.11 mi (6,678.96 km) |
| Middle River to Albano Laziale | 4,453.69 mi (7,167.52 km) |
