DR. CARL SODERSTROM JR., M.D.
Dermatology - Dermatopathology
Active
Individual
NPI: 1053370759
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology | 207N00000X | No | - |
| Dermatology - Dermatopathology | 207ND0900X | Yes | - |
Frequently Asked Questions
NPI 1053370759 is the National Provider Identifier for DR. CARL SODERSTROM JR., M.D., a Dermatology - Dermatopathology provider located in Peoria, IL. This NPI was enumerated on March 21, 2006.
DR. CARL SODERSTROM JR., M.D. practices at 4909 N GLEN PARK PLACE RD, Peoria, IL 61614.
Quick Facts
- NPI
- 1053370759
- Type
- Individual
- Enumerated
- Mar 21, 2006
- Last Updated
- Sep 11, 2025
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