Individual
MARIA SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1401 W NORTH ST, JACKSON, MI 49202-3135
(517) 782-2555
(517) 782-3399
Mailing address
PO BOX 67000, DEPT 272801, DETROIT, MI 48267-2728
(517) 782-2555
(517) 782-3399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008464
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4762331
—
MI
Enumeration date
05/05/2006
Last updated
12/21/2011
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