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NPI Code Detail

MEDICARE: WILLIAM J MORGAN

MEDICARE:   WILLIAM J MORGAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistMI

General Provider Information

NPI Number : 1013541432
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM J MORGAN
Provider Business Mailing Address
First Line : 6821 MEDBURY ST
Second Line :
City : DETROIT
State : MI
Zip : 48211-3317
Country : US
Telephone Number : 313-922-2222
Fax Number : 586-983-9797
Provider Business Practice Location Address
First Line : 6821 MEDBURY ST
Second Line :
City : DETROIT
State : MI
Zip : 48211-3317
Country : US
Telephone Number : 313-922-2222
Fax Number : 586-983-9797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2020
Last Update Date : 02/25/2020

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Directions to “ WILLIAM J MORGAN ” Practice Location

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