Healthcare Provider Details

I. General information

NPI: 1598076630
Provider Name (Legal Business Name): COURTNEY E. MORGAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY M. DALY MD

II. Dates (important events)

Enumeration Date: 06/23/2010
Last Update Date: 02/02/2021
Certification Date: 02/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 JUNCTION RD
MADISON WI
53717-2656
US

IV. Provider business mailing address

7974 UW HEALTH CT
MIDDLETON WI
53562-5531
US

V. Phone/Fax

Practice location:
  • Phone: 608-263-8915
  • Fax: 608-265-5755
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number125-05-7471
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: