Individual
DR. FREDDY R SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 703, SOUTHFIELD, MI 48075-4825
(248) 569-1770
(248) 443-2439
Mailing address
22250 PROVIDENCE DR, SUITE 703, SOUTHFIELD, MI 48075-4825
(248) 569-1770
(248) 443-2439
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
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