Individual
MICHAEL DEAN SOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 EAST 23RD ST, FREMONT, NE 68025
(402) 721-3070
(402) 727-3513
Mailing address
415 E 23RD ST, STE 210, FREMONT, NE 68025-2393
(402) 721-4866
(402) 721-3229
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18553
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47058135000
—
NE
Enumeration date
06/20/2006
Last updated
07/08/2007
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