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Individual

EKATERINA V SOFORO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1414 N TAYLOR DR STE 110, SHEBOYGAN, WI 53081-3090
(920) 320-5241
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
52056-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207R00000X
WI
01
P00976931
RR MEDICARE
WI
Enumeration date
08/01/2007
Last updated
09/05/2025
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