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Individual

DR. MICHELLE MOROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2055 E 14 MILE RD, STE 120, BIRMINGHAM, MI 48009-7256
(248) 645-1740
(248) 645-5304
Mailing address
2055 E 14 MILE RD, STE 120, BIRMINGHAM, MI 48009-7256
(248) 645-1740
(248) 645-5304

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MM405270
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MM405270
STATE LIC NUMBER
MI
Enumeration date
11/02/2006
Last updated
07/09/2007
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