Doctor Name: | DR. MICHAEL D SOROKA |
NPI Number: | 1598713505 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 34-003601 |
Business Practice Address: | 265 W Union St Expresscare Athens, OH - 45701 |
Business Phone Number: | 7405942456 |
Business Fax Number: | 7405949630 |
Mailing Address: | 330 Parks Hall, ATHENS |
State: | OH |
Postal Code: | 45701 |
Phone Number: | 7405932487 |
Fax Number: | 7405930626 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 09/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 34-003601 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |