Individual
SOPHIE DREAM
Active
Individual
SOPHIE DREAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
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