Individual
DR. ROBERT M SODERSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
G-5131 WEST BRISTOL RD, STE A, FLINT, MI 48507
(810) 733-2090
(810) 733-0387
Mailing address
5131 W BRISTOL RD, STE A, FLINT, MI 48507-2970
(810) 733-2090
(630) 495-1770
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301032434
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0257159
BLUE CARE NETWORK MICHIGA
MI
01
—
0771592
HEALTHPLUS OF MICHIGAN
MI
05
—
1421419
—
MI
Enumeration date
07/10/2006
Last updated
07/11/2019
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