Provider Demographics
NPI:1235108036
Name:MORGAN-IHRIG, CHERYL L (MD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:MORGAN-IHRIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:L
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:150 MERCY DR
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-7301
Mailing Address - Country:US
Mailing Address - Phone:563-584-3480
Mailing Address - Fax:563-584-3481
Practice Address - Street 1:150 MERCY DR
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-7301
Practice Address - Country:US
Practice Address - Phone:563-584-3480
Practice Address - Fax:563-584-3481
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-46931207RH0003X
IN01041301207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100361940Medicaid
IN5171410002OtherDMERC
E41454Medicare UPIN
IN100361940Medicaid