Doctor Name: | SONIA VERZOSA ECARMA |
NPI Number: | 1114195633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 4301043110 |
Business Practice Address: | 10800 S Saginaw St Grand Blanc, MI - 484398120 |
Business Phone Number: | 8109536836 |
Business Fax Number: | 8109536814 |
Mailing Address: | 1310 Heatherwoode Rd, FLINT |
State: | MI |
Postal Code: | 485322335 |
Phone Number: | 8102300937 |
Fax Number: | 8109536814 |
NPI Enumeration Date: | 02/19/2008 |
NPI Last Update Date: | 02/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301043110 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |