Individual
MR. EZRA JAY MORROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
34680 SAN PAULO DR, STERLING HEIGHTS, MI 48312-5733
(586) 979-1263
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601002061
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023802
NCCPA CERTIFICATION #
MI
Enumeration date
08/22/2006
Last updated
07/08/2007
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