Individual
CATHERINE C SODERQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1222 E WOODLAND AVE, BARRON, WI 54812-1765
(715) 537-3166
Mailing address
1222 E WOODLAND AVE, BARRON, WI 54812-1765
(715) 537-3166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26607
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080134524
RAILROAD MEDICARE
WI
05
—
30361500
—
WI
Enumeration date
02/23/2006
Last updated
07/24/2009
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