Healthcare Provider Details

I. General information

NPI: 1114542776
Provider Name (Legal Business Name): DAVID SOSNOSKI JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 NORTH AVE
BATTLE CREEK MI
49017-3258
US

IV. Provider business mailing address

9275 GUERNSEY LAKE RD
DELTON MI
49046-9721
US

V. Phone/Fax

Practice location:
  • Phone: 269-704-3166
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number5101028103
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number5151014394
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: