Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 56041 | WI |
NPI | 1174720759 |
---|---|
Provider Name | Dr. Morgan Leigh Barnum |
First Address | Hudson, WI 54016-7848 |
Second Address | Hudson, WI 54016-7848 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2007 |
Last Update Date | 20/05/2013 |