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

John David Soderstrom, CNIM

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1063728814

John David Soderstrom, CNIM is an Electroneurodiagnostic Specialist/Technologist in Ann Arbor, Michigan. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
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Practice location Address checks out

812 Avis Dr
Ann Arbor, MI 48108-9649
Phone: (734) 717-2983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X · Licence 1013 (MN)

Record details

NPI number1063728814
Entity typeIndividual (Type 1)
GenderMale
Credentials CNIM
Sole proprietorNo
NPI enumeratedAugust 30, 2010
Last updated in NPPESAugust 30, 2010
Mailing address812 Avis Dr, Ann Arbor, MI 48108-9649

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