NPI 1063728814

John David Soderstrom, CNIM

Practitioner Electroneurodiagnostic Specialist/Technologist Ann Arbor, MI

Practice location

Address: 812 Avis Dr, Ann Arbor, MI 48108-9649
Phone: (734) 717-2983

Registered specialties

Electroneurodiagnostic Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZE0600X Licence 1013 (MN)

Other Specialist/Technologist, Other providers in Michigan →

Registry record

NPI: 1063728814
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2010
Record last updated: 30 Aug 2010

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.