Individual
JEFFREY R MORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4660 S HAGADORN RD, STE 500, EAST LANSING, MI 48823-5353
(517) 884-4554
(517) 884-4556
Mailing address
940 RIVER CENTRE DR, PORT HURON, MI 48060-4463
(810) 985-4900
(810) 985-3634
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
JM005697
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002026
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093701203
—
MI
05
—
4317700
—
MI
Enumeration date
09/22/2005
Last updated
11/03/2020
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