Individual
MR. JACK MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
23865 MICHIGAN AVE, DEARBORN, MI 48124-1805
(313) 562-9588
Mailing address
1454 MASON ST, DEARBORN, MI 48124-2859
(313) 999-8479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704295266
MI
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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