Organization
SOSALE BERKUCHEL MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOSALE BERKUCHEL MD (OWNER)
(810) 648-4733
Entity
Organization
Contact information
Practice address
44 S MORSE ST, SANDUSKY, MI 48471-1331
(810) 648-4405
Mailing address
3061 CHRISTY WAY, C.O PRO MED BILLING, SAGINAW, MI 48603-2267
(989) 791-2433
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301042585
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1930353
—
MI
Enumeration date
05/24/2006
Last updated
01/31/2008
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