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NPI Code Detail

MEDICARE: MORGAN MARSHALL

MEDICARE: MORGAN MARSHALL
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
1103K00000XBehavior Analyst
2156F00000XTechnician/Technologist

General Provider Information

NPI Number : 1063923811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN MARSHALL
Provider Business Mailing Address
First Line : 1402 S SAGINAW ST
Second Line :
City : FLINT
State : MI
Zip : 48503-3705
Country : US
Telephone Number : 810-496-4983
Fax Number :
Provider Business Practice Location Address
First Line : 1402 S SAGINAW ST
Second Line :
City : FLINT
State : MI
Zip : 48503-3705
Country : US
Telephone Number : 810-257-3705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2017
Last Update Date : 03/30/2026

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Directions to “ MORGAN MARSHALL ” Practice Location

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