Provider Demographics
NPI:1871622126
Name:MORGAN, SUZANNE RENAE (DO)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:RENAE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5399 LAUBY RD STE 220
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-1590
Mailing Address - Country:US
Mailing Address - Phone:330-615-6498
Mailing Address - Fax:888-974-6375
Practice Address - Street 1:5399 LAUBY RD STE 220
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-1590
Practice Address - Country:US
Practice Address - Phone:330-615-6498
Practice Address - Fax:888-974-6375
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-008595207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH288050Medicare PIN