Provider Demographics
NPI:1144377979
Name:MORSE, RONALD L (DPM)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:L
Last Name:MORSE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13736 HIDDEN ACRES DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-8105
Mailing Address - Country:US
Mailing Address - Phone:616-396-5717
Mailing Address - Fax:
Practice Address - Street 1:334 WASHINGTON BLVD
Practice Address - Street 2:APT # 2
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-3328
Practice Address - Country:US
Practice Address - Phone:616-396-5717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901001110213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine