Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Douglas Mark Soderberg, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1215997952

Dr. Douglas Mark Soderberg, MD is an Obstetrics/Gynecology in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 1980, 46 years ago. Practices with Centracare Clinic Southwest LLC, a 172-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
46
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5415 Queen Ave S
Minneapolis, MN 55410-2530
Phone: (612) 963-1367
Fax: (612) 677-3324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 26672 (MN)

Record details

NPI number1215997952
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2006
Last updated in NPPESJuly 8, 2007
Mailing address5415 Queen Ave S, Minneapolis, MN 55410-2530

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1980 (46 years in practice)
Group practice Centracare Clinic Southwest Llc — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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