Individual
ETHAN BRADEN MORRICAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8333 FELCH ST, ZEELAND, MI 49464-2608
(616) 391-3139
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301105491
MI
Other
Enumeration date
05/16/2014
Last updated
09/26/2022
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