Basic Information
| Provider Information | |||||||||
| NPI: | 1750471033 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOWLAND | ||||||||
| FirstName: | MORGAN | ||||||||
| MiddleName: | M. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9005 GRANT ST | ||||||||
| Address2: | |||||||||
| City: | THORNTON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802294300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032884694 | ||||||||
| FaxNumber: | 3034227994 | ||||||||
| Practice Location | |||||||||
| Address1: | 9005 GRANT ST | ||||||||
| Address2: | |||||||||
| City: | THORNTON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802294300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032884694 | ||||||||
| FaxNumber: | 3034227994 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/15/2006 | ||||||||
| LastUpdateDate: | 09/28/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 43139-020 | WI | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 34090100 | 05 | WI | MEDICAID | 48906069 | 05 | CO | MEDICAID |