Healthcare Provider Details

I. General information

NPI: 1992967061
Provider Name (Legal Business Name): CHRISTOPHER EDWARD MORGAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 12/02/2021
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 CHERRY ST SE STE 200
GRAND RAPIDS MI
49503-4607
US

IV. Provider business mailing address

245 CHERRY ST SE STE 200
GRAND RAPIDS MI
49503-4607
US

V. Phone/Fax

Practice location:
  • Phone: 616-685-6330
  • Fax: 616-685-3010
Mailing address:
  • Phone: 616-685-6330
  • Fax: 616-685-3010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number4301100045
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number4301100045
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: