Individual
SAM MORKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6880
(989) 894-3077
(989) 894-6138
Mailing address
PO BOX 660857, DALLAS, TX 75266-0857
(855) 709-4498
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301080918
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301080918
MI
208VP0000X
Pain Medicine Physician
Primary
4301080918
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500910182
BCBS
MI
05
—
1396776043
—
MI
01
—
P00836690
RAILROAD
MI
Enumeration date
07/05/2006
Last updated
01/03/2014
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