Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ezra Jay Morrow, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1740396639

Mr. Ezra Jay Morrow, PHYSICIANASSISTANT is a Surgical Physician Assistant in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
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Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601002061 (MI)

Record details

NPI number1740396639
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedAugust 22, 2006
Last updated in NPPESJuly 8, 2007

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