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Mr. Ezra Jay Morrow, PHYSICIANASSISTANT
Surgical Physician Assistant in Detroit, Michigan
NPI 1740396639

Ezra Jay Morrow is a Surgical Physician Assistant based in Sterling Heights, MI and is specialized in Surgical. Ezra Jay Morrow practices in Detroit, MI and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Ezra Jay Morrow is 1740396639 and holds a License No. 5601002061 (Michigan).

The current practice location address for Ezra Jay Morrow is 4646 John R St, Detroit, MI and can be reached out via phone at 313-576-1000. You can also correspond with Ezra Jay Morrow through the mailing address at 34680 SAN PAULO DR, STERLING HEIGHTS, MI - 48312-5733 (mailing address contact number: 586-979-1263).

Location: 4646 John R St, Detroit, MI, 48312-5733
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Provider Profile Details
NPI Number
1740396639
Provider Name
Ezra Jay Morrow
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
4646 John R St, Detroit, MI, 48312-5733
Phone Number
313-576-1000
Fax Number
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1023802 01 MI NCCPA CERTIFICATION #
institution
Provider Business Practice Location Address Details
Address
4646 John R St
City
State
Zip
48201-1916
Phone Number
313-576-1000
Fax Number
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Provider Business Mailing Address Details
Address
34680 San Paulo Dr
City
State
Zip
48312-5733
Phone Number
586-979-1263
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
5601002061 (Michigan)
Definition
Definition to come...
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