Doctor Name: | JOSEPH SOBOTA |
NPI Number: | 1982062154 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M. D. |
License Number: | 4301028352 |
Business Practice Address: | 2339 Pennsylvania Ave. Harbor Springs, MI - 497404253 |
Business Phone Number: | 2695670240 |
Business Fax Number: | |
Mailing Address: | Po Box 4253, HARBOR SPRINGS |
State: | MI |
Postal Code: | 497404253 |
Phone Number: | 2695670240 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2016 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301028352 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |