Soderberg Eye Care Center Sc

NPI #1548371966 in Baldwin, Wisconsin

Provider Information

NPI Number: 1548371966
Entity Type: Organization
Organization Name: Soderberg Eye Care Center Sc
Primary Specialty: Optometrist
Enumeration Date: Aug 31, 2006
Last Updated: May 14, 2013

Practice Location

Address: 1620 10TH AVE
City: Baldwin
State: Wisconsin
ZIP Code: 54002-9033
Phone: (715) 684-3310

Authorized Official

Name: DR. DENNIS RAYMOND SODERBERG, O. D.
Title: PRESIDENT
Phone: (715) 684-3310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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