Individual
DR. MARK STEVEN SOUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310 E 7TH ST, AUBURN, IN 46706-2534
(260) 925-0305
(260) 925-6041
Mailing address
1310 E 7TH ST, AUBURN, IN 46706-2534
(260) 925-0305
(260) 925-6041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01026373A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083986
BCBS
—
01
—
081664279
RR MEDICARE
—
05
—
100053210A
—
IN
Enumeration date
01/03/2006
Last updated
10/01/2008
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