Provider Demographics
NPI:1750693255
Name:SOUSLEY, RHONDA STRUBLE (PHD, MSOM)
Entity type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:STRUBLE
Last Name:SOUSLEY
Suffix:
Gender:F
Credentials:PHD, MSOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 TOWN CENTER DR.
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084
Mailing Address - Country:US
Mailing Address - Phone:248-740-1265
Mailing Address - Fax:248-688-9407
Practice Address - Street 1:318 TOWN CENTER DR.
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084
Practice Address - Country:US
Practice Address - Phone:248-740-1265
Practice Address - Fax:248-688-9407
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI306-055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist