JOHN DAVID SODERSTROM CNIM
NPI 1063728814
Specialist/Technologist, Other - Electroneurodiagnostic in Ann Arbor, MI

Active since August 30, 2010
812 AVIS DR, ANN ARBOR, MI 48108(734) 717-2983 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John David Soderstrom Cnim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN DAVID SODERSTROM CNIM (NPI 1063728814) is an individual electroneurodiagnostic provider in Ann Arbor, Michigan, licensed in Minnesota (1013) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1063728814
Entity TypeIndividualMale
Primary Taxonomy246ZE0600X
Provider Legal NameJOHN DAVID SODERSTROMCredential: CNIM
Location Address812 AVIS DRAnn Arbor, MI 48108-9649
Mailing Address812 Avis DrAnn Arbor, MI 48108-9649 · (734) 717-2983
Sole ProprietorNo
Enumeration DateAugust 30, 2010
NPI 1063728814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
License Licensed in MN · 1013
812 AVIS DR, Ann Arbor, MI 48108

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist, Other (Electroneurodiagnostic)
812 AVIS DR
ANN ARBOR, MI 48108
Specialist/Technologist, Other (Electroneurodiagnostic)
812 AVIS DR
ANN ARBOR, MI 48108
Specialist
812 AVIS DR
ANN ARBOR, MI 48108
Specialist
812 AVIS DR
ANN ARBOR, MI 48108
Technician, Other (EEG)
812 AVIS DR
ANN ARBOR, MI 48108
Specialist
812 AVIS DR
ANN ARBOR, MI 48108
Specialist/Technologist, Other (Electroneurodiagnostic)
812 AVIS DR
ANN ARBOR, MI 48108
Specialist/Technologist, Other (Electroneurodiagnostic)
812 AVIS DR
ANN ARBOR, MI 48108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Soderstrom's NPI number?

The NPI number for John Soderstrom is 1063728814. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Where is John Soderstrom located?

John Soderstrom practices at 812 Avis Dr, Ann Arbor, MI 48108. The listed phone number is (734) 717-2983.

What is John Soderstrom's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for John Soderstrom was last updated on August 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.