Individual
MR. MICHAEL DOMINICK MORRELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
846 NORTHSIDE DR STE 15, SUMMERSVILLE, WV 26651-2036
(304) 872-8995
(304) 872-8997
Mailing address
846 NORTHSIDE DR STE 15, SUMMERSVILLE, WV 26651-2036
(304) 872-8995
(304) 872-8997
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
683
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164780000
—
WV
Enumeration date
03/13/2008
Last updated
03/17/2018
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