Dr Victor Stephen Soderstrom, DPM | |
101 Oakridge Ct, Ste A, Watertown, WI 53094-4150 | |
(920) 261-9610 | |
(920) 261-9671 |
Full Name | Dr Victor Stephen Soderstrom |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 101 Oakridge Ct, Watertown, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508810110 | NPI | - | NPPES |
43200300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 444025 (Wisconsin) | Primary |
Provider Name | Rock River Foot & Ankle Clinic, Sc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043263007 PECOS PAC ID: 3577554526 Enrollment ID: O20040519001236 |
Mailing Address | Practice Location Address |
---|---|
Dr Victor Stephen Soderstrom, DPM 101 Oakridge Ct, Ste A, Watertown, WI 53094-4150 Ph: (920) 261-9610 | Dr Victor Stephen Soderstrom, DPM 101 Oakridge Ct, Ste A, Watertown, WI 53094-4150 Ph: (920) 261-9610 |
Rock River Foot & Ankle Clinic, Sc Podiatrist Medicare: Medicare Enrolled Practice Location: 101 Oakridge Ct, Ste A, Watertown, WI 53094 Phone: 920-261-9610 Fax: 920-261-9671 | |
Daniel Elmes, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 101 Oakridge Ct, Watertown, WI 53094 Phone: 920-261-9610 | |
Dr. Brent Paul Yaeggi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 101 Oakridge Ct, Suite A, Watertown, WI 53094 Phone: 920-261-9610 Fax: 920-261-9671 | |
Dr. Elizabeth Sharon Albanese, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 911 E Cady St, Watertown, WI 53094 Phone: 920-390-9215 | |
Dr. Greg Thomas Graglia, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 101 Oakridge Ct, Suite A, Watertown, WI 53094 Phone: 920-261-9610 Fax: 920-261-9671 |