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Individual
DR. DANIEL J SODERHOLM
Active
Individual
DR. DANIEL J SODERHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1692
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38777500
—
WI
01
—
391545009
TAX ID
WI
01
—
391545009014
BCBS
WI
Enumeration date
02/06/2006
Last updated
09/23/2011
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