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NPI Code Detail

MEDICARE: DR. JOHN R SOCEY D.O.

MEDICARE: DR. JOHN R SOCEY D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician5101005881MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18253048OTHERMIBLUE CROSS
2E26181OTHERMIHAP
34073496OTHERMIAETNA
4C1630OTHERMIMCARE

General Provider Information

NPI Number : 1316972581
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN R SOCEY D.O.
Provider Business Mailing Address
First Line : G3169 BEECHER RD
Second Line : SUITE 102
City : FLINT
State : MI
Zip : 48532-3611
Country : US
Telephone Number : 810-767-1420
Fax Number : 810-767-4685
Provider Business Practice Location Address
First Line : G3169 BEECHER RD
Second Line : SUITE 102
City : FLINT
State : MI
Zip : 48532-3611
Country : US
Telephone Number : 810-767-1420
Fax Number : 810-767-4685
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JOHN R SOCEY D.O.” Practice Location

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