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Individual

DR. JULIO M SOSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5641 W MAPLE RD, WEST BLOOMFIELD, MI 48322
(248) 538-3020
(248) 538-0892
Mailing address
5641 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3714
(248) 538-3020
(248) 538-0892

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301061683
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4099870
MI
Enumeration date
01/03/2006
Last updated
07/13/2010
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