Healthcare Provider Details

I. General information

NPI: 1245157254
Provider Name (Legal Business Name): DAVID MORRISSEY HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6160 S SAGINAW RD
GRAND BLANC MI
48439-7026
US

IV. Provider business mailing address

1165 TROTWOOD LN
FLINT MI
48507-3710
US

V. Phone/Fax

Practice location:
  • Phone: 810-603-1747
  • Fax:
Mailing address:
  • Phone: 810-603-1747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number3502008490
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: