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Gustavo Alexander Sosa
Student in an Organized Health Care Education/Training Program in Middleton, Wisconsin
NPI 1770250094

Gustavo Alexander Sosa is a Student in an Organized Health Care Education/Training Program based in Middleton, WI. Gustavo Alexander Sosa practices in Middleton, WI. The NPI Number for Gustavo Alexander Sosa is 1770250094 and holds a License No. (Wisconsin).

The current practice location address for Gustavo Alexander Sosa is 8550 Greenway Blvd, Middleton, WI and can be reached out via phone at 916-612-7005.

Location: 8550 Greenway Blvd, Middleton, WI, 53562-4715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770250094
Provider Name
Gustavo Alexander Sosa
Credential
Provider Entity Type
Individual
Gender
Male
Address
8550 Greenway Blvd, Middleton, WI, 53562-4715
Phone Number
916-612-7005
Fax Number
Provider Enumeration Date
08/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8550 Greenway Blvd
City
Middleton
State
Wisconsin
Zip
53562-4715
Phone Number
916-612-7005
Fax Number
person
Provider Business Mailing Address Details
Address
8550 Greenway Blvd
City
Middleton
State
Wisconsin
Zip
53562-4715
Phone Number
916-612-7005
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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