Healthcare Provider Details

I. General information

NPI: 1104407998
Provider Name (Legal Business Name): LEAH KRISTINE MORGAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEAH KRISTINE ANDERSON MD

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 MARKET PTE DR STE 100
BLOOMINGTON MN
55435-5435
US

IV. Provider business mailing address

7974 UW HEALTH CT
MIDDLETON WI
53562-5531
US

V. Phone/Fax

Practice location:
  • Phone: 952-767-4574
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number83155
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number82530
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: