Provider Demographics
NPI:1568780377
Name:MORSE, SONYA MICHELLE (DPM)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:MICHELLE
Last Name:MORSE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 HARDING MEMORIAL PKWY STE 3
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-6347
Mailing Address - Country:US
Mailing Address - Phone:740-383-5115
Mailing Address - Fax:740-387-3668
Practice Address - Street 1:1051 HARDING MEMORIAL PKWY STE B
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6347
Practice Address - Country:US
Practice Address - Phone:740-383-5115
Practice Address - Fax:740-387-3668
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.003651213ES0103X
VA0103301090213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty