Provider Demographics
NPI:1508229188
Name:MORRISON, KATHERINE (DPM)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27483 DEQUINDRE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-5700
Mailing Address - Country:US
Mailing Address - Phone:248-587-2300
Mailing Address - Fax:284-808-6615
Practice Address - Street 1:27483 DEQUINDRE RD STE 104
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-5700
Practice Address - Country:US
Practice Address - Phone:248-587-2300
Practice Address - Fax:284-808-6615
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901400342213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery