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General NPI Number Information
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NPI Number | 1396720561
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Entity Type | Individual
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Provider Name | OREST JOHN SOWIRKA DO, CMD
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Gender | Male
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Dates
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Enumeration Date | 12/10/2005
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 11120 LORMAN DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-4964
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Country | US
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Telephone | 586-945-9003
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Fax |
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Provider Business Mailing Address
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Address Line | 11120 LORMAN DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-4964
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Country | US
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Telephone | 586-945-9003
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Fax |
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 5101012355
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 5101012355
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101012355
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License Number State | MI
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