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Active NPI 1063728814 Individual Practitioner Male Practitioner

John David Soderstrom , CNIM

Specialist/Technologist, Other - Electroneurodiagnostic • Ann Arbor, MI

Professional Overview & Biography Verified Profile Summary

John Soderstrom, CNIM is a registered healthcare professional specializing in Specialist/Technologist, Other - Electroneurodiagnostic in Ann Arbor, MI. Practice services are available at 812 AVIS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

812 Avis Dr

Ann Arbor, MI 481089649

Telephone 7347172983
Associated Practice Facility / Clinic
🏢 Neural Watch Llc Facility NPI 1053351536

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist, Other - Electroneurodiagnostic in Ann Arbor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
52 Specialists

Practicing in Ann Arbor, MI (142 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist, Other - Electroneurodiagnostic Primary Specialty

NUCC Taxonomy Code: 246ZE0600X

State License MN 1013

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Justin Tsay

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1023407509
Michael Detrisac

Technician, Other - EEG

NPI 1053689836
Kevin Huddleston

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1063887347
Richard Hoban

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1063887461
NPI 1073536298

Doctor of Philosophy (Ph.D.)

Jennifer Ross

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1073988358

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 30, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2010

Registered at 812 AVIS DR, ANN ARBOR, MI 481089649 (Tel: 7347172983)

📍
Updated Business Mailing Address August 30, 2010

Registered at 812 AVIS DR, ANN ARBOR, MI 481089649 (Tel: 7347172983)

👤
Provider Name / Credentials Updated August 30, 2010

Recorded as JOHN SODERSTROM, CNIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2010

Specialist/Technologist, Other (License #1013 in MN)

🟢
Initial NPI Registration & Enumeration August 30, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063728814
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2010
Last Update: August 30, 2010
Sole Proprietor: No

Mailing Address

812 Avis Dr

Ann Arbor, MI 481089649

Phone: 7347172983

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.