# DR. MICHAEL SOBOLIC

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124647409
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 4351046143 | MI | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | 11022914A | IN | Yes |

## Other

- **Enumeration date:** 04/15/2020
- **Last updated:** 07/03/2023