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Individual

DR. DANIEL THOMAS SODERBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1164 LEXINGTON AVE, MANSFIELD, OH 44907-2254
(419) 756-0500
Mailing address
1701 WOODLAND HALL DR, DELAWARE, OH 43015-7009

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG002472
PA
152W00000X
Optometrist
Primary
OPT.006093
OH

Other

Enumeration date
07/06/2011
Last updated
02/21/2020
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