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General NPI Number Information
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NPI Number | 1063421840
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Entity Type | Individual
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Provider Name | MICHAEL J. SORSCHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 4442 GENESYS PKWY
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City | GRAND BLANC
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State | MI
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Zip | 48439-8072
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Country | US
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Telephone | 866-974-2673
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Fax | 866-939-2673
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Provider Business Mailing Address
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Address Line | 4442 GENESYS PKWY
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City | GRAND BLANC
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State | MI
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Zip | 48439-8072
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Country | US
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Telephone | 866-974-2673
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Fax | 866-939-2673
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 4301051814
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4301051814
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 4301051814
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License Number State | MI
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