Doctor Name: | STEPHEN L MORGAN |
NPI Number: | 1477642874 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 5101008406 |
Business Practice Address: | 550 Munson Ave Traverse City, MI - 496863580 |
Business Phone Number: | 2319358685 |
Business Fax Number: | |
Mailing Address: | 550 Munson Ave, TRAVERSE CITY |
State: | MI |
Postal Code: | 496863580 |
Phone Number: | 2319358685 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5101008406 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |