Individual
MORRIS L MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4331 E ALLEN RD, HOWELL, MI 48855-8213
(248) 229-7916
(248) 759-8457
Mailing address
4331 E ALLEN RD, HOWELL, MI 48855-8213
(248) 229-7916
(248) 759-8457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36178
AZ
207R00000X
Internal Medicine Physician
Primary
M2514
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183862501
—
TX
01
—
8U3654
BCBS INDIVIDUAL PROVIDER
TX
Enumeration date
11/21/2006
Last updated
02/02/2026
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