Organization
GREGORY V SOBOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA L REYNOLDS (PRACTICE ADMINISTRATOR)
(248) 341-2440
Entity
Organization
Contact information
Practice address
17877 W FOURTEEN MILE RD, BEVERLY HILLS, MI 48025
(248) 644-3920
(248) 644-2569
Mailing address
17877 W FOURTEEN MILE RD, BEVERLY HILLS, MI 48025
(248) 644-3920
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
074673
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4787134
—
MI
Enumeration date
05/09/2008
Last updated
05/09/2008
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