Individual
DR. STEPHANIE M MORREALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3960 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 947-0404
(231) 947-2190
Mailing address
3960 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 947-0404
(231) 947-2190
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101014223
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11342689
CAQH
MI
05
—
4784393
—
MI
Enumeration date
04/13/2006
Last updated
06/16/2010
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