# DR. ANDREW MICHAEL MORTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699703108
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01049943 | IN | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 12/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 037563 | SIHO | IN |
| 01 | — | 1017630001 | DMERC | IN |
| 05 | — | 200304550A | — | IN |
| 01 | — | 328434 | ANTHEM | IN |
| 01 | — | 351920057 | GROUP TAX ID | IN |