Larry Sorrell M.D.

NPI 1710372867 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1710372867
Gender Male
Enumeration Date 04/04/2015
Last Updated 04/04/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
2801 W KINNICKINNIC RIVER PKWY STE 250
MILWAUKEE WI, 53215-3678, US
Phone (414) 649-7909
Fax
Business Location
PO BOX 2283
MOULTRIE GA, 31776-2283, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Larry Sorrell M.D. NPI is 1710372867, taxonomy code is 390200000X Larry Sorrell M.D. physically located at 2801 W Kinnickinnic River Pkwy Ste 250, Milwaukee WI, 53215-3678. NPI Number Larry Sorrell M.D. has the Individual type.

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1710372867 NPI number is provided on an as is basis without warranty of any kind. 1710372867 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Sorrell M.D. are for informational purposes only.