MEDICARE: DR. MARGARET A MORATH D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	5101006971	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114029022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARET A MORATH D.O.

Provider Business Mailing Address
First Line	:	B545 WEST FEE HALL
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48824-1315
Country	:	US
Telephone Number	:	517-353-3100
Fax Number	:

Provider Business Practice Location Address
First Line	:	7201 W SAGINAW HWY STE 202
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-1127
Country	:	US
Telephone Number	:	517-321-7711
Fax Number	:	517-321-7799

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	12/11/2009

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