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Individual

SOPHIE DREAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
37266
AL
2086X0206X
Surgical Oncology Physician
71681
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588906804
WI
Enumeration date
03/25/2013
Last updated
08/19/2025
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