Individual
JOHN DAVID SODERSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
812 AVIS DR, ANN ARBOR, MI 48108-9649
(734) 717-2983
Mailing address
812 AVIS DR, ANN ARBOR, MI 48108-9649
(734) 717-2983
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
1013
MN
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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