Provider Demographics
NPI:1043436132
Name:MORGAN, JEFFREY A (MD)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:A
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2799 W GRAND BLVD
Mailing Address - Street 2:K-14, RM 1435
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-2608
Mailing Address - Country:US
Mailing Address - Phone:313-790-2741
Mailing Address - Fax:313-916-2687
Practice Address - Street 1:2799 W GRAND BLVD
Practice Address - Street 2:K-14, RM 1435
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:313-790-2741
Practice Address - Fax:313-916-2687
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2023-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI1285208G00000X
MI4301093300208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)