Individual
DR. DAVID SORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-3635
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
181786-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
51727
WI
2085R0202X
Diagnostic Radiology Physician
G86494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35333000
—
WI
Enumeration date
01/09/2006
Last updated
07/21/2009
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