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Individual

MICHAEL W SOEHNLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2600 6TH ST SW, RADIOLOGY ASSOCIATES OF CANTON, INC., CANTON, OH 44710-1702
(330) 363-2842
(330) 580-5536
Mailing address
P.O. BOX 72384, RADIOLOGY ASSOCIATES OF CANTON, INC., CLEVELAND, OH 44192
(888) 686-1837
(330) 686-5928

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
35 087482
OH
2085N0700X
Neuroradiology Physician
35087482
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35087482
OH
2085R0202X
Diagnostic Radiology Physician
MD421874
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
221126200
MD
05
2636875
OH
05
7100160410
KY
01
P00407450
RAILROAD MEDICARE
OH
01
P00971839
RXR MCR
OH
Enumeration date
07/19/2005
Last updated
02/15/2012
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