Dawn E Soderstrom, NP-C
Nurse Practitioner in Minnetonka, MN. Individual provider (NPI-1).
NPI number1124445952
StatusActive
Last updated in NPPESJun 26, 2020
Details
- NPI
- 1124445952
- Entity type
- Individual (NPI-1)
- Name
- Dawn E Soderstrom
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2014
- Certification date
- Jun 26, 2020
- Last updated
- Jun 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209011370 | IL | Yes |
Practice location
9900 Bren Rd EMinnetonka, MN 55343-9664
Phone 630-538-6120
Mailing address
9900 Bren Rd EMinnetonka, MN 55343-9664
Phone 630-538-6120
Other practice locations
1804 S Tyler Rd
Saint Charles, IL 60174-4572
Saint Charles, IL 60174-4572
Phone 630-251-7267
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