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Jacob Souva

NPI 1588303952 · on the registry since 2022

Practice

Address
2615 Nakota Rd
Royal Oak, MI 48073
Phone
(586) 210-0530

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan