Individual
JOSEPH J SOCKALOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
347 SMITH AVE N, CHILDRENS SPECIALTY CLINIC-DIABETES/ENDOCRINOLOGY-STPL, SAINT PAUL, MN 55102-2387
(651) 220-6818
(651) 220-6064
Mailing address
2910 CENTRE POINTE DR, 35-121A, CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113-1182
(651) 855-2327
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
21201
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126700100
—
MN
Enumeration date
08/16/2005
Last updated
09/06/2012
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