MEDICARE: DR. ROBERT K 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	208600000X	Surgery Physician	35055343	OH

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	:	1730180829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT K MORRIS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 773
Second Line	:
City	:	MAUMEE
State	:	OH
Zip	:	43537-0773
Country	:	US
Telephone Number	:	419-897-9045
Fax Number	:	866-205-0449

Provider Business Practice Location Address
First Line	:	5757 MONCLOVA RD
Second Line	:	SUITE 26
City	:	MAUMEE
State	:	OH
Zip	:	43537-1863
Country	:	US
Telephone Number	:	419-897-9045
Fax Number	:	866-205-0449

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	03/02/2013

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