Individual
MICHAEL DAVID SOBOLEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
310 ELECTRIC AVE STE 240, LEWISTOWN, PA 17044-1369
(717) 242-8124
(717) 242-8125
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS015012
PA
207X00000X
Orthopaedic Surgery Physician
OT012447
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015083500032
—
PA
01
—
002982424
BLUE SHIELD
PA
01
—
710929
MEDICARE
PA
01
—
CI6140
RAILROAD MEDICARE
PA
Enumeration date
08/07/2008
Last updated
08/31/2020
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