Provider Demographics
NPI:1437649449
Name:PAUL J SORGI MD PLLC
Entity Type:Organization
Organization Name:PAUL J SORGI MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SORGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:906-440-3672
Mailing Address - Street 1:616 PETOSKEY ST
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-2985
Mailing Address - Country:US
Mailing Address - Phone:906-440-3672
Mailing Address - Fax:
Practice Address - Street 1:616 PETOSKEY ST
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-2985
Practice Address - Country:US
Practice Address - Phone:906-440-3672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty