Individual
MR. JOHN ROBERT SOBOTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20045 MACK AVE, GROSSE POINTE WOODS, MI 48236-2322
(313) 884-5100
Mailing address
20045 MACK AVE, GROSSE POINTE WOODS, MI 48236-2322
(586) 873-2758
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003842
MI
Other
Enumeration date
09/27/2006
Last updated
10/26/2021
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