Individual
JOHN MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3767 28TH ST SE, GRAND RAPIDS, MI 49512-1873
(616) 233-2700
Mailing address
1462 LAKE DR SE, GRAND RAPIDS, MI 49506-1746
(810) 624-0806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601361
MI
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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