Organization
CARLA E MORTON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLA ESTELLE MORTON M.D. (CEO/PRESIDENT)
(248) 569-9330
Entity
Organization
Contact information
Practice address
27209 LAHSER RD., SUITE 221, SOUTHFIELD, MI 48034-4744
(248) 569-9330
(248) 569-9360
Mailing address
27209 LAHSER RD., SUITE 221, SOUTHFIELD, MI 48034-4744
(248) 569-9330
(248) 569-9360
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301404971
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2506344801
BCBS
MI
05
—
474081710
—
MI
Enumeration date
05/15/2007
Last updated
06/27/2014
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