Individual
DR. MICHELLE A SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
710 RIVERSIDE DR, WAUPACA, WI 54981-1941
(715) 256-3000
(715) 256-3039
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51829
WI
207Q00000X
Family Medicine Physician
MD23927
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000563
—
OR
Enumeration date
09/23/2005
Last updated
03/07/2023
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