NPI 1053370759

Carl William Soderstrom, MD

Practitioner Dermatopathology Physician Peoria, IL

Practice location

Address: 4909 N Glen Park Place Rd, Peoria, IL 61614-4676
Phone: (309) 674-7546

Registered specialties (2)

Dermatopathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0900X

Other Dermatology providers in Illinois →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Registry record

NPI: 1053370759
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2006
Record last updated: 11 Sep 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.