Most Relevant Information
Provider Data
| NPI Number: | 1003235391 |
| Provider Name: | ANDREW LEO SOCHACKI M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RH0003X |
| Specialty: | Internal Medicine |
| License Number: | 4301501379 |
Most Important Dates
| Enumeration Date: | 04/15/2014 |
| Last Updated: | 07/01/2020 |
Provider Practice Location
5800 FOREMOST DR SE STE 200
GRAND RAPIDS
MI
495467062
Practice Location Phone/Fax
| Phone: | 6163891800 |
| Fax: |
Provider Mailing Location
5800 FOREMOST DR SE STE 300
GRAND RAPIDS
MI
495467062
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |