Provider Demographics
NPI:1144752957
Name:MORGAN, MICHAEL J (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:MORGAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2748 MILTON WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:WA
Mailing Address - Zip Code:98354-9379
Mailing Address - Country:US
Mailing Address - Phone:253-922-5262
Mailing Address - Fax:253-922-5299
Practice Address - Street 1:2748 MILTON WAY STE 101
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:WA
Practice Address - Zip Code:98354-9379
Practice Address - Country:US
Practice Address - Phone:253-922-5262
Practice Address - Fax:253-922-5299
Is Sole Proprietor?:No
Enumeration Date:2017-03-30
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WADO.OP.61054639207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WADO.OP.61054639OtherWASHINGTON STATE LICENSE
FM8211485OtherDEA