Basic Information
Provider Information
NPI: 1013039486
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORSE
FirstName: DARIN
MiddleName: CRAIG
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 501 LAPEER
Address2:  
City: SAGINAW
State: MI
PostalCode: 48607
CountryCode: US
TelephoneNumber: 9897596464
FaxNumber: 9893998233
Practice Location
Address1: 501 LAPEER
Address2:  
City: SAGINAW
State: MI
PostalCode: 486071208
CountryCode: US
TelephoneNumber: 9897536000
FaxNumber: 9897596454
Other Information
ProviderEnumerationDate: 04/04/2007
LastUpdateDate: 08/31/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X5101016769MIY Allopathic & Osteopathic PhysiciansFamily Medicine 

ID Information
IDTypeStateIssuerDescription
17714901MIGREAT LAKES HEALTH PLANOTHER
0102076301MOHEALTHPLUS OF MICHIGANOTHER
101303948601MIMOLINA HEALTH CARE OF MICHIGANOTHER
38190832801 HCAPOTHER
080G31066001MIBLUE CARE NETWORKOTHER
105440401MIMCLAREN HEALTH PLANOTHER
38190832801MNPRIORITY HEALTHOTHER
080G31066001MIBLUE CROSS BLUE SHIELD OF MICHIGANOTHER
101303948605MI MEDICAID
381908328-43601MICARE SOURCE OF MICHIGANOTHER
5517701MNHEALTH PLAN OF MICHIGANOTHER


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