Individual
DR. RODERICK G MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11109 PARKVIEW PLAZA DRIVE, FORT WAYNE, IN 46845-1701
(260) 266-1000
(260) 482-4442
Mailing address
3640 NEW VISION DR STE A, FORT WAYNE, IN 46845-1717
(260) 482-4440
(260) 482-4442
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01066517A
IN
207P00000X
Emergency Medicine Physician
35.091446
OH
207P00000X
Emergency Medicine Physician
76701
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000895570
ANTHEM
IN
05
—
200953430
—
IN
Enumeration date
05/09/2007
Last updated
06/29/2026
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