MEDICARE: DR. STEPHEN CHESTER SOKOLOWSKI 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
1	207Q00000X	Family Medicine Physician	5101008040	MI

General Provider Information

NPI Number	:	1780652552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN CHESTER SOKOLOWSKI D.O.

Provider Business Mailing Address
First Line	:	3058 METRO PKWY
Second Line	:	SUITE 107
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-3671
Country	:	US
Telephone Number	:	586-939-8875
Fax Number	:	586-939-8870

Provider Business Practice Location Address
First Line	:	3058 METRO PKWY
Second Line	:	SUITE 107
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-3671
Country	:	US
Telephone Number	:	586-939-8875
Fax Number	:	586-939-8870

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	01/16/2015

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