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NPI Code Detail

MEDICARE: MICHAEL PATRICK SOTAK M.D.

MEDICARE:   MICHAEL PATRICK SOTAK  M.D.
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
1207P00000XEmergency Medicine PhysicianG81292CA

General Provider Information

NPI Number : 1932107646
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL PATRICK SOTAK M.D.
Provider Business Mailing Address
First Line : 10470 OLD PLACERVILLE RD
Second Line : SUITE 100
City : SACRAMENTO
State : CA
Zip : 95827-2539
Country : US
Telephone Number : 800-470-0071
Fax Number :
Provider Business Practice Location Address
First Line : 8170 LAGUNA BLVD
Second Line : SUITE 114
City : ELK GROVE
State : CA
Zip : 95758-7902
Country : US
Telephone Number : 916-691-5900
Fax Number : 916-691-6747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 06/30/2015

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Directions to “ MICHAEL PATRICK SOTAK M.D.” Practice Location

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