Individual
MARIO L DESOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1217 8TH ST N, NEW ULM, MN 56073-1552
(507) 217-5000
(507) 217-5035
Mailing address
1217 8TH ST N, NEW ULM, MN 56073-1552
(507) 217-5000
(507) 217-5035
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29738
MN
Other
Enumeration date
09/15/2006
Last updated
11/10/2020
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