Healthcare Provider Details

I. General information

NPI: 1699087577
Provider Name (Legal Business Name): IOANA C MORARIU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 07/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G3200 BEECHER RD SUITE 2
FLINT MI
48532-3651
US

IV. Provider business mailing address

G3200 BEECHER RD SUITE 2
FLINT MI
48532-3651
US

V. Phone/Fax

Practice location:
  • Phone: 810-342-5800
  • Fax: 810-342-5810
Mailing address:
  • Phone: 810-342-5800
  • Fax: 810-342-5810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine
License Number4301097204
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: