Individual
DR. GREG SORENSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1845 HAINES AVE, RAPID CITY, SD 57701-0663
(605) 342-1157
Mailing address
1845 HAINES AVE, RAPID CITY, SD 57701-0663
(605) 342-1157
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
518
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9200210
—
SD
Enumeration date
05/18/2006
Last updated
07/08/2007
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