Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 5901001110 | MI |
NPI | 1144377979 |
---|---|
Provider Name | Dr. Ronald L Morse |
First Address | Holland, MI 49424-8105 |
Second Address | Holland, MI 49423-3328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 08/07/2007 |