Provider Demographics
NPI:1174513766
Name:MORRONE, WILLIAM RAY (DO)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RAY
Last Name:MORRONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:863 N PINE RD
Mailing Address - Street 2:STE. A
Mailing Address - City:ESSEXVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48732-2159
Mailing Address - Country:US
Mailing Address - Phone:989-928-3566
Mailing Address - Fax:989-391-9596
Practice Address - Street 1:863 N PINE RD
Practice Address - Street 2:STE. A
Practice Address - City:ESSEXVILLE
Practice Address - State:MI
Practice Address - Zip Code:48732-2159
Practice Address - Country:US
Practice Address - Phone:989-928-3566
Practice Address - Fax:989-391-9596
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301014760207Q00000X
MI5101014760208VP0000X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0998147OtherSAGINAW HEALTH PLAN
144862OtherGREAT LAKES HEALTH PLAN
MI4602801OtherMOLINA HEALTH CARE
MIP31915FOtherBLUE CARE NETWORK
MI080G310660OtherBCBS
0998147OtherBAY HEALTH PLAN
381908328OtherHCAP
381908328OtherTRICARE
MI383394798OtherCOMMERCIAL
7171551OtherAETNA
1011602OtherMCLAREN HEALTH PLAN
MI080G312550OtherBLUE CROSS BLUE SHIELD
MI241OtherCOMMUNITY CHOICE
MI4602801Medicaid
MI0998147OtherHEALTHPLUS
MI1174513766Medicaid
MI080G376200OtherBCBSM
1011602OtherHEALTH ADVANTAGE PPO
MIM92750018Medicare PIN
MIP31915FOtherBLUE CARE NETWORK
7171551OtherAETNA
MI241OtherCOMMUNITY CHOICE