Healthcare Provider Details

I. General information

NPI: 1598792608
Provider Name (Legal Business Name): STEPHEN A MORRIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 02/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE HURLEY PLAZA SON, 5TH FLOOR
FLINT MI
48503-5993
US

IV. Provider business mailing address

ONE HURLEY PLAZA SON, 5TH FLOOR
FLINT MI
48503-5993
US

V. Phone/Fax

Practice location:
  • Phone: 810-262-9353
  • Fax: 810-262-7243
Mailing address:
  • Phone: 810-262-9353
  • Fax: 810-262-7243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number4301036709
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: