Individual
DR. JAY BRADLEY MORROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 LAFAYETTE AVE SE, STE 400, GRAND RAPIDS, MI 49503-4693
(616) 752-6525
(616) 752-6556
Mailing address
310 LAFAYETTE AVE SE, STE 400, GRAND RAPIDS, MI 49503-4693
(616) 752-6525
(616) 752-6556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301077292
MI
207RG0100X
Gastroenterology Physician
Primary
4301077292
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4301648
—
MI
Enumeration date
06/20/2005
Last updated
06/06/2024
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