Healthcare Provider Details

I. General information

NPI: 1447870746
Provider Name (Legal Business Name): MORGAN MILLER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2020
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2487 N ELMS RD
FLUSHING MI
48433-9426
US

IV. Provider business mailing address

2487 N ELMS RD
FLUSHING MI
48433-9426
US

V. Phone/Fax

Practice location:
  • Phone: 810-487-3500
  • Fax: 810-487-3530
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101026219
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: