Individual
DR. DAVID ALAN SORRENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4060
(920) 288-4067
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 288-4067
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2012039492
MO
207P00000X
Emergency Medicine Physician
Primary
48861-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100076240
—
WI
Enumeration date
10/25/2006
Last updated
04/10/2024
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