Dr Dennis Raymond Soderberg, OD | |
1620 10th Ave, Baldwin, WI 54002-9033 | |
(715) 684-3310 | |
(715) 684-4560 |
Full Name | Dr Dennis Raymond Soderberg |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1620 10th Ave, Baldwin, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649235524 | NPI | - | NPPES |
391170106044 | Other | WI | CLAIMS MANAGEMENT |
391170106036 | Other | WI | COMPCARE |
22-12358 | Other | MEDICA | |
38411800 | Medicaid | WI | |
391170106028 | Other | WI | BCBS |
774002 | Other | PREFERRED ONE | |
795000 | Other | HEALTH PARTNERS | |
92530S0 | Other | MN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1396 (Wisconsin) | Primary |
152W00000X | Optometrist | 1549 (Minnesota) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Dennis Raymond Soderberg, OD 1620 10th Ave, Baldwin, WI 54002-9033 Ph: (715) 684-3310 | Dr Dennis Raymond Soderberg, OD 1620 10th Ave, Baldwin, WI 54002-9033 Ph: (715) 684-3310 |
Dennis R. Soderberg O. D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1620 10th Ave, Baldwin, WI 54002 Phone: 715-684-3310 Fax: 715-684-4560 |