Individual
NICHOLAS D SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
27483 DEQUINDRE RD STE 301, MADISON HEIGHTS, MI 48071-5715
(248) 546-2600
Mailing address
27483 DEQUINDRE RD STE 301, MADISON HEIGHTS, MI 48071-5715
(248) 546-2600
(248) 546-2604
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101021243
MI
Other
Enumeration date
06/19/2014
Last updated
09/16/2022
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