Individual
JOSEPH SOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2514 S 102ND ST, SUITE 160, WEST ALLIS, WI 53227-2142
(414) 255-0300
(414) 543-9601
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
53737-20
WI
208D00000X
General Practice Physician
Primary
53737020
WI
Other
Enumeration date
03/08/2010
Last updated
10/13/2011
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