Individual
AAMOD C SOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
(715) 346-5000
Mailing address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
(715) 346-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55997
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55997
WI STATE LIC
WI
Enumeration date
06/28/2011
Last updated
10/03/2011
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