IndividualActive
John Soderstrom, CNIM
NPI 1063728814 · Electroneurodiagnostic Specialist/Technologist · Ann Arbor, MI
Provider details
- NPI number
- 1063728814
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CNIM
- Sex
- Male
- Sole proprietor
- No
- License
- 1013 (MN)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
812 Avis Dr
Ann Arbor, MI 48108-9649
Phone: (734) 717-2983
Approximate (ZIP-level) locationGet directions
Mailing address
812 Avis Dr
Ann Arbor, MI 48108-9649
Registry dates
- Enumerated
- 2010-08-30
- Last updated
- 2010-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.