| Doctor Name: | CAROL JEAN SODMAN |
| NPI Number: | 1023161213 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC WHNP |
| License Number: | 4704097679 |
| Business Practice Address: | 1135 E 8th St Traverse City, MI - 496862936 |
| Business Phone Number: | 2319291844 |
| Business Fax Number: | 2319492084 |
| Mailing Address: | 1135 E. Eighth Street, TRAVERSE CITY |
| State: | MI |
| Postal Code: | 496862936 |
| Phone Number: | 2319291844 |
| Fax Number: | 2319492084 |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 02/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 4704097679 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |