| 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 |
Soderberg Eye Care Center Sc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1620 10th Ave, Baldwin, WI 54002 Phone: 715-684-3310 Fax: 715-684-4560 |