MEDICARE: MICHAEL R MORRIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	D53842	MD

General Provider Information

NPI Number	:	1073514675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL R MORRIS M.D.

Provider Business Mailing Address
First Line	:	75 THOMAS JOHNSON DR
Second Line	:	SUITE B
City	:	FREDERICK
State	:	MD
Zip	:	21702-4895
Country	:	US
Telephone Number	:	301-695-3100
Fax Number	:	301-695-7403

Provider Business Practice Location Address
First Line	:	75 THOMAS JOHNSON DR
Second Line	:	SUITE B
City	:	FREDERICK
State	:	MD
Zip	:	21702-4895
Country	:	US
Telephone Number	:	301-695-3100
Fax Number	:	301-695-7403

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	05/09/2008

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