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Individual

CHAD R SORENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HIS

Contact information

Practice address
2314 LINEVILLE RD STE 107, GREEN BAY, WI 54313-8860
(920) 434-6800
(920) 434-7084
Mailing address
2314 LINEVILLE RD STE 107, GREEN BAY, WI 54313-8860
(920) 434-6800
(920) 434-7084

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1305-60
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42840600
WI
Enumeration date
09/05/2008
Last updated
07/21/2022
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