MEDICARE: MS. WANDA MORRISON

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	1744P3200X	Prosthetics Case Management		MI

General Provider Information

NPI Number	:	1659225449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. WANDA MORRISON

Provider Business Mailing Address
First Line	:	PO BOX 346
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48332-0346
Country	:	US
Telephone Number	:	248-522-7965
Fax Number	:

Provider Business Practice Location Address
First Line	:	5826 N SHELDON RD STE 119
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-3153
Country	:	US
Telephone Number	:	248-522-7965
Fax Number	:

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

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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