Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 5101021701 | MI |
Y | 207QA0401X | Family Doctor - Addiction Medicine | 5101021701 | MI |
NPI | 1093027013 |
---|---|
Provider Name | Dr. Robert Patrick Mcmorrow II |
First Address | Houghton Lake, MI 48629-9602 |
Second Address | Houghton Lake, MI 48629 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2010 |
Last Update Date | 05/07/2019 |