Healthcare Provider Details

I. General information

NPI: 1780260430
Provider Name (Legal Business Name): MORGAN TAYLOR SORENSEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 W 18TH ST
SIOUX FALLS SD
57105-0401
US

IV. Provider business mailing address

PO BOX 820
SIOUX FALLS SD
57101-0820
US

V. Phone/Fax

Practice location:
  • Phone: 712-266-5458
  • Fax: 712-478-4086
Mailing address:
  • Phone: 712-266-5458
  • Fax: 712-478-4086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number1780260430
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number79395
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: