Individual
DR. DEREK MIKAEL SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-0770
Mailing address
88 MDG, 4881 SUGAR MAPLE DR, WRIGHT-PATTERSON AFB, OH 45433-5529
(937) 257-0770
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.127329
OH
207P00000X
Emergency Medicine Physician
4301093367
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35.127329
OH
Other
Enumeration date
08/05/2008
Last updated
04/21/2025
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