Provider Demographics
NPI:1326242009
Name:SONGER, MICHAEL LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LEE
Last Name:SONGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13320 PERGOLA AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-8508
Mailing Address - Country:US
Mailing Address - Phone:661-588-0761
Mailing Address - Fax:
Practice Address - Street 1:WASCO STATE PRISON
Practice Address - Street 2:701 SCOFIELD AVE.
Practice Address - City:WASCO
Practice Address - State:CA
Practice Address - Zip Code:93280-8800
Practice Address - Country:US
Practice Address - Phone:661-758-8400
Practice Address - Fax:661-758-7088
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC42388207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine