DR. Dennis Raymond Soderberg, O.D.

NPI #1649235524 in Baldwin, Wisconsin

Provider Information

NPI Number: 1649235524
Entity Type: Individual
Name: DR. Dennis Raymond Soderberg, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Apr 20, 2006
Last Updated: Jul 9, 2007

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
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