MEDICARE: ELIZABETH MORELLI MD

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	207Q00000X	Family Medicine Physician	4301082443	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558395954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH MORELLI MD

Provider Business Mailing Address
First Line	:	24 FRANK LLOYD WRIGHT DR
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48105-9484
Country	:	US
Telephone Number	:	734-747-6766
Fax Number	:

Provider Business Practice Location Address
First Line	:	23200 PONTIAC TRL STE 100
Second Line	:
City	:	SOUTH LYON
State	:	MI
Zip	:	48178-1983
Country	:	US
Telephone Number	:	248-446-2935
Fax Number	:	248-466-2936

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	02/11/2019

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