Provider Demographics
NPI:1265851083
Name:EBY, ALICIA MORGAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:MORGAN
Last Name:EBY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5199 N ROYAL DR
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-9201
Mailing Address - Country:US
Mailing Address - Phone:231-935-8101
Mailing Address - Fax:231-346-5926
Practice Address - Street 1:5199 N ROYAL DR
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-9201
Practice Address - Country:US
Practice Address - Phone:231-935-8101
Practice Address - Fax:231-346-5926
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2020-06-11
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Provider Licenses
StateLicense IDTaxonomies
MI4301105373207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology