Individual
JULIE CREIGHTON SOVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101021125
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912311853
—
MI
01
—
5101021125
MEDICAL LICENSE NUMBER
MI
Enumeration date
06/18/2014
Last updated
08/18/2023
Update your record
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