Organization
MILTON D SODERBERG MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON D SODERBERG MD (PHYSICIAN)
(906) 225-3939
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE STE 109, MARQUETTE, MI 49855-5404
(906) 225-3939
(906) 225-7488
Mailing address
1414 W FAIR AVE STE 109, MARQUETTE, MI 49855-5404
(906) 225-3939
(906) 225-7488
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MS026190
MI
302F00000X
Exclusive Provider Organization
MS026190
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025869
—
MI
Enumeration date
02/19/2008
Last updated
05/06/2008
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