Organization
KEVIN C SORENSEN, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN C SORENSEN D.P.M. (PRESIDENT)
(419) 345-7867
Entity
Organization
Contact information
Practice address
44000 W 12 MILE RD, SUITE 111, NOVI, MI 48377-2644
(248) 347-8233
Mailing address
200 E LONG LAKE RD, SUITE 110, BLOOMFIELD HILLS, MI 48304-2360
(248) 645-9400
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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