Individual
DR. FREDDY R SOSA
Active
Individual
DR. FREDDY R SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301029937
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0638265
MEDICARE
MI
01
—
0638265
BLUE CARE NETWORK
—
05
—
104308845
—
MI
05
—
1051407
—
MI
01
—
110638265
BCBS
—
01
—
110Q262840
BCBSM/BCN
MI
01
—
1S0638265
HEALTH PLUS PPO
MI
01
—
2437498
CIGNA
MI
01
—
5133233
AETNA
MI
01
—
B45138
HAP
MI
Enumeration date
06/07/2006
Last updated
04/22/2014
Update your record
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