RAYMOND CHARLES SODERLUND PA
NPI 1043425044
Physician Assistant - Surgical in Minneapolis, MN
- Individual
- Male
- Physician Assistant
- Surgical
About RAYMOND SODERLUND
This page provides the complete NPI Profile along with additional information for Raymond Soderlund, a provider established in Minneapolis, Minnesota with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1043425044 assigned on May 2007. The practitioner's primary taxonomy code is 363AS0400X with license number 8847 (MN). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1043425044 Verify this NPI
- Provider Name
- RAYMOND CHARLES SODERLUND PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2220 RIVERSIDE AVE MINNEAPOLIS, MN 55454
- Location Phone
- (612) 371-1600
- Mailing Address
- 3021 WILSON ST NE MINNEAPOLIS, MN 55418
- Mailing Phone
- (612) 782-8323
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-11-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 8847
- License State
- MN
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Other Providers at the Same Location
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MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043425044, enumerated as an "individual" on May 11, 2007.
The provider is located at 2220 RIVERSIDE AVE MINNEAPOLIS, MN 55454 and the phone number is (612) 371-1600.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.