Most Relevant Information
Provider Data
| NPI Number: | 1396748331 |
| Provider Name: | MICHAEL J SORENSEN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2081P2900X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 60457 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 06/30/2022 |
Provider Practice Location
1223 WILLOW CREEK RD
PRESCOTT
AZ
863011427
Practice Location Phone/Fax
| Phone: | 9287779950 |
| Fax: | 9287779975 |
Provider Mailing Location
1223 WILLOW CREEK RD
PRESCOTT
AZ
863011427
Provider Mailing Phone/Fax
| Phone: | 9287779950 |
| Fax: | 9287779975 |