Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 4301070881 | MI |
NPI | 1306950456 |
---|---|
Provider Name | Dr. Sandra L. Morgan |
First Address | Rochester Hills, MI 48307 |
Second Address | Rochester Hills, MI 48307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 18/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4432668 | (05) | MI |
H72638 | (02) | MI |