Individual
IVAN DANIEL MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2852 EYDE PKWY STE 175, EAST LANSING, MI 48823-5378
(517) 333-4600
(517) 333-4996
Mailing address
1790 S CANFIELD RD, EATON RAPIDS, MI 48827-9301
(517) 881-6864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101019806
MI
Other
Enumeration date
03/13/2012
Last updated
10/28/2024
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