Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 4301051814 | MI |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 4301051814 | MI |
NPI | 1063421840 |
---|---|
Provider Name | Michael J. Sorscher |
First Address | Grand Blanc, MI 48439-8072 |
Second Address | Grand Blanc, MI 48439-8072 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 06/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200040238 | PALMETTO GBA RAILROAD MR (01) | MI |
2002503071 | BLUE CROSS BLUE SHELD (01) | MI |
26S26606 | HEALTH PLUS (01) | MI |
38-2710423 | TAX ID EFF 1.19.15 (01) | MI |
383566557 | FEDERAL TAX ID (01) | MI |
4261300 | (05) | MI |
C3578 | MCARE (01) | MI |
F48177 | (02) | MI |