Individual
MICHAEL J SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1223 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 777-9950
(928) 777-9975
Mailing address
1223 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 777-9950
(928) 777-9975
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
60457
AZ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
60457
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000120000
—
MS
05
—
110318002
—
AR
01
—
1255827
CIGNA
TN
01
—
12608
TLC
TN
05
—
135333001
—
AR
01
—
250009146
RAILROAD MEDICARE
TN
01
—
3091702
BLUE CROSS
TN
05
—
3371161
—
TN
05
—
3825983
—
TN
01
—
5015681
AETNA
TN
01
—
620819926
BCBS
MS
01
—
620819926
TRICARE
TN
05
—
7187860
—
MS
Enumeration date
05/23/2005
Last updated
06/30/2022
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