MEDICARE: MORGAN F RICE PA-C

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
1	363A00000X	Physician Assistant	5601010411	MI

General Provider Information

NPI Number	:	1689336273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN F RICE PA-C

Provider Business Mailing Address
First Line	:	11564 OLD HAMBURG RD
Second Line	:
City	:	WHITMORE LAKE
State	:	MI
Zip	:	48189-9167
Country	:	US
Telephone Number	:	734-276-1033
Fax Number	:

Provider Business Practice Location Address
First Line	:	11564 OLD HAMBURG RD
Second Line	:
City	:	WHITMORE LAKE
State	:	MI
Zip	:	48189-9167
Country	:	US
Telephone Number	:	734-276-1033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2021
Last Update Date	:	10/11/2021

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