Individual
DIANE L MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1255 N. OAKLAND, WATERFORD, MI 48327-2100
(248) 406-0090
(248) 406-0107
Mailing address
1255 N OAKLAND BLVD, WATERFORD, MI 48327-1545
(248) 406-0090
(248) 406-0107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301056437
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3487106
—
MI
01
—
F37128015
MEDICARE ID
MI
Enumeration date
07/27/2006
Last updated
03/31/2016
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