Milton D Soderberg Md in Marquette - Exclusive Provider Organization

Milton D Soderberg Md - NPI 1881862324

Milton D Soderberg Md is a Exclusive Provider Organization in Marquette, Michigan. Milton D Soderberg Md practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Milton D Soderberg Md is 1881862324. The last update date is 2008-05-06.

Milton D Soderberg Md's current location address is 1414 W Fair Ave Ste 109, Marquette, Michigan. You can contact this provider via phone number 9062253939 and fax number 9062257488. The mailing address for Milton D Soderberg Md is 1414 W Fair Ave Ste 109, Marquette, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Milton D Soderberg Md
Address 1414 W Fair Ave Ste 109, Marquette, Michigan
Phone Number 9062253939
Fax Number 9062257488
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Soderberg D Milton
Credentials MD
Telephone Number 9062253939

NPI Number Detail

NPI Number 1881862324
Provider Enumeration Date 2008-02-19
Last Updated Date 2008-05-06

Provider Mailing Address Detail

Address 1414 W Fair Ave Ste 109
City Marquette
State Michigan (MI)
Post Code 498555404
Phone Number 9062253939
Fax Number 9062257488

Provider's Primary Taxonomy Detail

Speciality Exclusive Provider Organization
Taxonomy 302F00000X
Licence No MS026190
Definition:
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2025869 MI --

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FAQs about Milton D Soderberg Md

What is the unique provider identifier assigned to Milton D Soderberg Md?

The Milton D Soderberg Md has been issued the NPI (National Provider Identifier) 1881862324 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Milton D Soderberg Md's facilities are situated?

The facilities of Milton D Soderberg Md are physically located at the following address: 1414 W Fair Ave Ste 109, Marquette, MI, 498555404.

What is Milton D Soderberg Md's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Milton D Soderberg Md is Exclusive Provider Organization, and the corresponding taxonomy classification code for this specialized field is 302F00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1881862324 to Milton D Soderberg Md?

The Centers for Medicare & Medicaid Services originally issued the 1881862324 to Milton D Soderberg Md on 2008-02-19.

When was the information related to Milton D Soderberg Md most recently updated or refreshed?

The details pertaining to the Milton D Soderberg Md, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-06.

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