MEDICARE: DALE A MORGAN DC PC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1588756431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALE A MORGAN DC PC

Provider Business Mailing Address
First Line	:	1324 W AUBURN ROAD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-4386
Country	:	US
Telephone Number	:	248-299-4447
Fax Number	:	248-299-1816

Provider Business Practice Location Address
First Line	:	1324 W AUBURN ROAD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-4386
Country	:	US
Telephone Number	:	248-299-4447
Fax Number	:	248-299-1816

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DALE ARTHUR MORGAN
Credential	:	DC
Telephone Number	:	248-299-4447

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	04/26/2013

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