Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD457172 | PA |
NPI | 1013235829 |
---|---|
Provider Name | Dr. Michael Christopher Sobieraj |
First Address | Danville, PA 17822-4903 |
Second Address | Wilkes-Barre, PA 18702-3885 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2010 |
Last Update Date | 31/08/2020 |