Individual
DR. BRIAN SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 ORBITING DR STE A, MOSINEE, WI 54455-1762
(715) 693-4530
Mailing address
2504 19TH ST, MENOMINEE, MI 49858-2067
(715) 923-4553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001819-15
WI
Other
Enumeration date
04/19/2018
Last updated
08/27/2019
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