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Individual

MICHAEL J. SORSCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4442 GENESYS PKWY, GRAND BLANC, MI 48439-8072
(866) 974-2673
(866) 939-2673
Mailing address
4442 GENESYS PKWY, GRAND BLANC, MI 48439-8072
(866) 974-2673
(866) 939-2673

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
4301051814
MI
207X00000X
Orthopaedic Surgery Physician
4301051814
MI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
4301051814
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200040238
PALMETTO GBA RAILROAD MR
MI
01
2002503071
BLUE CROSS BLUE SHELD
MI
01
26S26606
HEALTH PLUS
MI
01
38-2710423
TAX ID EFF 1.19.15
MI
01
383566557
FEDERAL TAX ID
MI
05
4261300
MI
01
C3578
MCARE
MI
Enumeration date
08/07/2006
Last updated
05/06/2021
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