Individual
JONATHAN SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 W 18TH ST, SIOUX FALLS, SD 57104-4647
(605) 670-8125
(605) 670-8125
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001339
SD
Other
Enumeration date
02/21/2018
Last updated
04/29/2022
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