Individual
DR. MICHAEL ALEX SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23205 NINE MILE RD, HUSON, MT 59846-9622
(406) 626-4757
(406) 626-4421
Mailing address
23205 NINE MILE RD, HUSON, MT 59846-9622
(406) 626-4757
(406) 626-4421
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4526
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810401482
8100 NUMBER
MT
Enumeration date
06/21/2008
Last updated
06/21/2008
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