Individual
CAROL JEAN SODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC WHNP
Contact information
Practice address
1135 E 8TH ST, TRAVERSE CITY, MI 49686-2936
(231) 929-1844
(231) 949-2084
Mailing address
1135 E. EIGHTH STREET, TRAVERSE CITY, MI 49686-2936
(231) 929-1844
(231) 949-2084
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704097679
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008704830
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/19/2007
Last updated
02/14/2012
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