Individual
DR. JACQUELINE S. DSOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2651 HILLCREST DR, HUDSON, WI 54016-4439
(715) 531-6800
(715) 531-6801
Mailing address
2651 HILLCREST DRIVE, SUITE 303, HUDSON, WI 54016-4439
(715) 531-6800
(715) 531-6801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44846-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34249600
—
WI
Enumeration date
07/05/2006
Last updated
02/17/2023
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