Provider Demographics
NPI:1710385620
Name:SOKOLOWSKI, RENEE KATHERINE (CNM)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:KATHERINE
Last Name:SOKOLOWSKI
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Gender:F
Credentials:CNM
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Mailing Address - Street 1:1428 S LAPEER RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-1437
Mailing Address - Country:US
Mailing Address - Phone:248-693-2697
Mailing Address - Fax:248-630-4301
Practice Address - Street 1:6777 W MAPLE RD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3013
Practice Address - Country:US
Practice Address - Phone:800-653-6568
Practice Address - Fax:313-876-1305
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-09
Last Update Date:2023-05-04
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Provider Licenses
StateLicense IDTaxonomies
MI4704266687176B00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife