Provider Demographics
NPI:1144212796
Name:MORGAN, MICHAEL JOSEPH (PHD NP)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:MORGAN
Suffix:
Gender:M
Credentials:PHD NP
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Mailing Address - Street 1:520 COBB ST
Mailing Address - Street 2:
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-2588
Mailing Address - Country:US
Mailing Address - Phone:231-876-6527
Mailing Address - Fax:231-876-6519
Practice Address - Street 1:730 WATER TOWER RD
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-2160
Practice Address - Country:US
Practice Address - Phone:231-527-7150
Practice Address - Fax:231-796-4109
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2021-10-18
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Provider Licenses
StateLicense IDTaxonomies
MI4704227492363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
54515Medicare UPIN