Individual
NATHANIEL S SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
TRINITY HEALTH IHA MEDICAL GROUP, INFECTIOUS DISEASES, 5333 MCAULEY DRIVE, SUITE 5011, YPSILANTI, MI 48197
(734) 712-8600
(734) 327-1160
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301502214
MI
207RI0200X
Infectious Disease Physician
Primary
4301502214
MI
208M00000X
Hospitalist Physician
4301502214
MI
Other
Enumeration date
06/09/2017
Last updated
07/19/2023
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