Individual
TANYA SOBASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9625 RED ARROW HWY, BRIDGMAN, MI 49106-9559
(269) 465-6050
(269) 465-3134
Mailing address
9625 RED ARROW HWY, BRIDGMAN, MI 49106-9559
(269) 465-6050
(269) 465-3134
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704220788
MI
Other
Enumeration date
07/10/2018
Last updated
03/16/2020
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