# SOSALE BERKUCHEL MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215982269
- **Authorized official:** SOSALE BERKUCHEL MD (OWNER)
- **Authorized official phone:** (810) 648-4733

## Contact information

- **Practice address:** 44 S MORSE ST, SANDUSKY, MI 48471-1331
- **Practice address phone:** (810) 648-4405
- **Mailing address:** 3061 CHRISTY WAY, C.O PRO MED BILLING, SAGINAW, MI 48603-2267
- **Mailing address phone:** (989) 791-2433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4301042585 | MI | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 01/31/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1930353 | — | MI |