NPI 1043263007
Rock River Foot & Ankle Clinic, Sc
Practice location
- Address
- 101 Oakridge CT STE a, Watertown, WI 53094-4150
- Phone
- (920) 261-9610
- Fax
- (920) 261-9671
- Mailing address
- PO Box 825159, Philadelphia, PA 19182-5159
Authorised official
- Name
- Victor Stephen Soderstrom
- Title
- Physician Owner
- Phone
- (920) 261-9610
Registered specialties (3)
Podiatrist
Primary
Foot & Ankle Surgery Podiatrist
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1043263007
- Entity type
- Organization
- NPI issued
- 18 May 2006
- Record last updated
- 26 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.