Soderstrom, Robert M

Soderstrom, Robert M is an sole proprietor health care provider with primary practice located at G-5131 West Bristol Rd Ste A, Flint MI 48507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Soderstrom, Robert M can be contacted via phone (810) 733-2090.

Contact Information

Primary practice address
G-5131 West Bristol Rd Ste A Flint MI 48507
Phone: (810) 733-2090
Fax: (810) 733-0387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301032434 Michigan

Profile Details

NPI number 1548294176
LBN Legal business name Soderstrom, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jul 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548294176 NPPES
Michigan Other 0257159 BLUE CARE NETWORK MICHIGA
Michigan Other 0771592 BLUE CARE NETWORK MICHIGA
Michigan MEDICAID 1421419 BLUE CARE NETWORK MICHIGA

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