Individual
JOHN MORASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6525 WEST MAPLE RD., STE 101 E, WEST BLOOMFIELD, MI 48322-4930
(248) 489-4410
Mailing address
130 TOWN CENTER DR STE 203, TROY, MI 48084-1744
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
5101021238
MI
207Q00000X
Family Medicine Physician
5101021238
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
5315088343
MI
Other
Enumeration date
06/11/2014
Last updated
12/16/2019
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