RAYMOND CHARLES SODERLUND PA NPI 1043425044

NPI Information

NPI: 1043425044
Provider Name: RAYMOND CHARLES SODERLUND, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
2220 RIVERSIDE AVE
MINNEAPOLIS, MN
ZIP 55454
Phone: (612) 371-1600
Get Directions

Raymond Charles Soderlund, PA is a surgical physician assistant in Minneapolis, MN. Raymond Charles Soderlund, PA NPI is 1043425044. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2220 RIVERSIDE AVE
MINNEAPOLIS, MN
ZIP 55454-321
Phone: (612) 371-1600

The enumeration date for this NPI number is 5/11/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	8847	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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