Individual
DR. ADAM SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
615 10TH ST S, LA CROSSE, WI 54601-4768
(608) 784-7319
Mailing address
615 10TH ST S, LA CROSSE, WI 54601-4768
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6000029-15
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
RES.003956
OH
Other
Enumeration date
06/04/2018
Last updated
08/15/2022
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