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Organization

SODERBERG EYE CARE CENTER

Active
Other names
Dennis R. Soderberg O.D.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS RAYMOND SODERBERG O.D. (PRESIDENT)
(715) 246-4441
Entity
Organization

Contact information

Practice address
228 PAPERJACK DR, NEW RICHMOND, WI 54017-2430
(715) 246-4441
(715) 246-3250
Mailing address
228 PAPERJACK DR, NEW RICHMOND, WI 54017-2430
(715) 246-4441
(715) 246-3250

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1396
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22-14005
MEDICA
MN
01
371170106044
BCBS
WI
05
38501900
WI
01
48421
HEALTH PARTNERS
MN
Enumeration date
09/08/2006
Last updated
08/22/2020
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