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NPI Code Detail

MEDICARE: MATTHEW J SORRELL MD

MEDICARE: MATTHEW J SORRELL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician4738SD

General Provider Information

NPI Number : 1972577757
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW J SORRELL MD
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number : 605-328-6585
Fax Number :
Provider Business Practice Location Address
First Line : 1508 W 22ND ST
Second Line : SUITE 101
City : SIOUX FALLS
State : SD
Zip : 57105-1508
Country : US
Telephone Number : 605-328-3840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2006
Last Update Date : 01/21/2026

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Directions to “ MATTHEW J SORRELL MD” Practice Location

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