Individual
DR. SHELLEY A. MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12340 BITTERSWEET COMMONS BLVD W, GRANGER, IN 46530-6959
(574) 271-8610
(574) 271-8620
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02003725A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200994220
—
IN
01
—
236040021
MEDICARE PTAN
IN
Enumeration date
09/03/2007
Last updated
03/31/2021
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