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General NPI Number Information
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NPI Number | 1508032541
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Entity Type | Organization
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Legal Business Name | MICHAEL J. SORSCHER M.D., P.C.
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 04/30/2008
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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 | 810-606-6990
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Fax | 810-606-6967
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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 | 810-606-6990
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Fax | 810-606-6967
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL J SORSCHER
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Credential | M.D.
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Telephone | 810-606-6990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 4301051814
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License Number State | MI
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