Healthcare Provider Details

I. General information

NPI: 1619943305
Provider Name (Legal Business Name): MICHAEL C MORRIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 07/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

988102 NEBRASKA MEDICAL CTR
OMAHA NE
68198-8102
US

IV. Provider business mailing address

988102 NEBRASKA MEDICAL CTR
OMAHA NE
68198-8102
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-9800
  • Fax: 402-559-3434
Mailing address:
  • Phone: 402-559-9800
  • Fax: 402-559-3434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number24577
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: