Healthcare Provider Details

I. General information

NPI: 1114029022
Provider Name (Legal Business Name): MARGARET A MORATH D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 12/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7201 W SAGINAW HWY STE 202
LANSING MI
48917-1127
US

IV. Provider business mailing address

B545 WEST FEE HALL
EAST LANSING MI
48824-1315
US

V. Phone/Fax

Practice location:
  • Phone: 517-321-7711
  • Fax: 517-321-7799
Mailing address:
  • Phone: 517-353-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number5101006971
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: