Healthcare Provider Details

I. General information

NPI: 1972758365
Provider Name (Legal Business Name): THOMAS JOHN MORROW PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2008
Last Update Date: 11/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 FULLER RD VA ANN ARBOR HEALTHCARE SYSTEM (11R)
ANN ARBOR MI
48105-2303
US

IV. Provider business mailing address

2215 FULLER RD VA ANN ARBOR HEALTHCARE SYSTEM (11R)
ANN ARBOR MI
48105-2303
US

V. Phone/Fax

Practice location:
  • Phone: 734-845-3318
  • Fax: 734-845-3241
Mailing address:
  • Phone: 734-845-3318
  • Fax: 734-845-3241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: