Provider Demographics
NPI:1982819611
Name:MORRIS, JOHN TIMOTHY (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:TIMOTHY
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2093 HEALTH DR SW
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-9691
Mailing Address - Country:US
Mailing Address - Phone:616-532-8100
Mailing Address - Fax:616-532-8200
Practice Address - Street 1:2093 HEALTH DR SW
Practice Address - Street 2:SUITE 300
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-9691
Practice Address - Country:US
Practice Address - Phone:616-532-8100
Practice Address - Fax:616-532-8200
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2010-04-16
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Provider Licenses
StateLicense IDTaxonomies
MI51010159832086S0129X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery