Individual
GERALYN MARIE MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCCA
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3408
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3408
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000217
MI
237700000X
Hearing Instrument Specialist
3501002415
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GM000217
BCLICENSE
—
01
—
OH22730
BCBS PIN
MI
Enumeration date
10/26/2007
Last updated
10/26/2007
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