| Dr Robert M Soderstrom, MD | |
| G-5131 West Bristol Rd, Ste A, Flint, MI 48507 | |
| (810) 733-2090 | |
| (810) 733-0387 | 
| Full Name | Dr Robert M Soderstrom | 
|---|---|
| Gender | Male | 
| Speciality | Dermatology | 
| Location | G-5131 West Bristol Rd, Flint, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548294176 | NPI | - | NPPES | 
| 0257159 | Other | MI | BLUE CARE NETWORK MICHIGA | 
| 0771592 | Other | MI | HEALTHPLUS OF MICHIGAN | 
| 1421419 | Medicaid | MI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | 4301032434 (Michigan) | Primary | 
| Entity Name | Pinnacle Dermatology Sc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861930984 PECOS PAC ID: 8628353380 Enrollment ID: O20181008002699 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Robert M Soderstrom, MD 5131 W Bristol Rd, Ste A, Flint, MI 48507-2970 Ph: (810) 733-2090 | Dr Robert M Soderstrom, MD G-5131 West Bristol Rd, Ste A, Flint, MI 48507 Ph: (810) 733-2090 | 
| Wasim Nasir, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5097 Miller Rd Ste 1, Flint, MI 48507 Phone: 833-322-3376 Fax: 248-607-6777 | |
| Dr. Alan R Berlin, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1079 Professional Dr, Flint, MI 48532 Phone: 810-732-3330 Fax: 810-732-2590 | |
| Mr. Walter F Barkey, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2256 W Hill Rd, Flint, MI 48507 Phone: 810-249-7546 Fax: 810-244-3376 | |
| Dr. Jason R Sotzen, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2256 W Hill Rd, Flint, MI 48507 Phone: 810-249-7546 Fax: 734-464-0335 |