Individual
JOEL RODERICK SOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1654 DIFFLEY RD, STE 100, EAGAN, MN 55122-2237
(651) 641-3900
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65783
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2018
Last updated
10/07/2025
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