Dr Robert M Soderstrom, MD | |
G-5131 West Bristol Rd, Ste A, Flint, MI 48507 | |
(810) 733-2090 | |
(810) 733-0387 |
Full Name | Dr Robert M Soderstrom |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | G-5131 West Bristol Rd, Flint, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548294176 | NPI | - | NPPES |
0257159 | Other | MI | BLUE CARE NETWORK MICHIGA |
0771592 | Other | MI | HEALTHPLUS OF MICHIGAN |
1421419 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 4301032434 (Michigan) | Primary |
Entity Name | Pinnacle Dermatology Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861930984 PECOS PAC ID: 8628353380 Enrollment ID: O20181008002699 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert M Soderstrom, MD 5131 W Bristol Rd, Ste A, Flint, MI 48507-2970 Ph: (810) 733-2090 | Dr Robert M Soderstrom, MD G-5131 West Bristol Rd, Ste A, Flint, MI 48507 Ph: (810) 733-2090 |
Wasim Nasir, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5097 Miller Rd Ste 1, Flint, MI 48507 Phone: 833-322-3376 Fax: 248-607-6777 | |
Vanessa Kristine Romero, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 5097 Miller Rd # 1, Flint, MI 48507 Phone: 833-322-3376 | |
Dr. Alan R Berlin, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1079 Professional Dr, Flint, MI 48532 Phone: 810-732-3330 Fax: 810-732-2590 | |
Mr. Walter F Barkey, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2256 W Hill Rd, Flint, MI 48507 Phone: 810-249-7546 Fax: 810-244-3376 | |
Dr. Jason R Sotzen, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2256 W Hill Rd, Flint, MI 48507 Phone: 810-249-7546 Fax: 734-464-0335 |