Individual
DR. SORENSEN MARIE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2121 LAKE AVE, VA NIHCS LAB 113, FORT WAYNE, IN 46805-5100
(260) 460-1422
Mailing address
13022 GARNETT HL, FORT WAYNE, IN 46845-9070
(260) 471-8299
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01044599A
IN
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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