Dennis R Soderberg (NPI# 1649235524, PAC ID# 6204832041) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1649235524 |
| PAC ID by PECOS | 6204832041 |
| Professional Enrollment ID | I20061018000388 |
| Full Name | Dennis R Soderberg |
| Organization Legal Name | SODERBERG EYE CARE CENTER |
| Address |
1620 10th Ave Baldwin WI 54002-9033 |
| Phone Number | 7156843310 |
| Gender | M |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1971 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9739185570 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1620 10th Ave, Baldwin, WI 54002-9033 | 7156843310 | SODERBERG EYE CARE CENTER |
| Organization Legal Name | SODERBERG EYE CARE CENTER |
| Physicians | 1 |
| Street Address |
1620 10TH AVE |
| City | BALDWIN |
| State | WI |
| Zip | 54002-9033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie J Carstens | Physician Assistant | Baldwin Area Medical Center, Inc. | 1100 Bergslien St, Baldwin, WI 54002-2600 |
| Dennis R Hartung | Obstetrics/gynecology | Baldwin Area Medical Center, Inc. | 1100 Bergslien St, Baldwin, WI 54002-2600 |
| Marrie J Simpson | Physician Assistant | Baldwin Area Medical Center, Inc. | 1100 Bergslien St, Baldwin, WI 54002-2600 |
| Reid C Berger | Physician Assistant | Baldwin Area Medical Center, Inc. | 1100 Bergslien St, Baldwin, WI 54002-2600 |
| Christopher C Babbitt | Psychologist, Clinical | Baldwin Area Medical Center, Inc. | 1100 Bergslien St, Baldwin, WI 54002-2600 |
| Nilin Raj | Nephrology | Baldwin Area Medical Center, Inc. | 1100 Bergslien St, Baldwin, WI 54002-2600 |
| Brian Nguyen | Internal Medicine | Baldwin Area Medical Center, Inc. | 1100 Bergslien St, Baldwin, WI 54002-2600 |
| Devon M Allen | Internal Medicine | Baldwin Area Medical Center, Inc. | 1100 Bergslien St, Baldwin, WI 54002-2600 |
| Russell R Roloff | Family Medicine | Baldwin Area Medical Center, Inc. | 1100 Bergslien St, Baldwin, WI 54002-2600 |
| Emily R Duch | Nurse Practitioner | Baldwin Area Medical Center, Inc. | 1100 Bergslien St, Baldwin, WI 54002-2600 |
| Find all physicians in zip 54002 | |||
| City | BALDWIN |
| Zip Code | 54002 |
| Specialty | OPTOMETRY |
| City + Specialty | BALDWIN + OPTOMETRY |
Please comment or provide details below to improve the information on Dennis R Soderberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.