Individual
DR. SCOTT NEVINS SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 MICHIGAN ST NE, SUITE 2200, GRAND RAPIDS, MI 49503-2515
(616) 391-3245
(616) 391-3130
Mailing address
5841 S MARYLAND AVE, NEURORADIOLOGY M/C 2026, CHICAGO, IL 60637-1447
(734) 355-7293
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
336101630
IL
2085R0202X
Diagnostic Radiology Physician
4301099196
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2011
Last updated
07/06/2016
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