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General NPI Number Information
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NPI Number | 1912326695
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Entity Type | Individual
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Provider Name | MICHAEL SOIKE
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Gender | Male
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 619 19TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35249-0001
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Country | US
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Telephone | 59-345-5670
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Fax | 209-975-0784
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Provider Business Mailing Address
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Address Line | MEDICAL CENTER BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27157-0001
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Country | US
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Telephone | 336-716-2011
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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 | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | MD.38315
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License Number State | AL
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