Search › Wisconsin › 152W00000X
Dennis Soderberg, O.D
NPI 1649235524 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1620 10th Ave
Baldwin, WI 54002 - Phone
- (715) 684-3310
- Fax
- (715) 684-4560
- Organisation at this address
- Soderberg Eye Care Center Sc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- WI, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin