Individual
KENT SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 W SOUTH BOUNDARY ST # 134, PERRYSBURG, OH 43551-1754
(419) 931-6251
(888) 562-3471
Mailing address
5263 CRISTO DR NE, ROCKFORD, MI 49341-8815
(616) 863-0577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35048265
OH
208D00000X
General Practice Physician
Primary
35048265
OH
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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