Individual
ELDON SODERBERG
Active
Individual
ELDON SODERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1821
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035J9SO
MN BCBS
MN
01
—
123593400
US DEPT OF LABOR
MN
05
—
173205
—
MN
05
—
370085200
—
MN
01
—
6401945
MEDICA
MN
Enumeration date
09/25/2006
Last updated
07/09/2007
Update your record
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