Doctor Name: | MICHAEL N GOERTZ |
NPI Number: | 1255317376 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 28137 |
Business Practice Address: | 401 Phalen Blvd - Ms 11503g Healthpartners Specialty Center 401 St. Paul, MN - 551305302 |
Business Phone Number: | 6512543490 |
Business Fax Number: | 6512547033 |
Mailing Address: | 8170 33rd Ave S, Ms21110q MINNEAPOLIS |
State: | MN |
Postal Code: | 554254516 |
Phone Number: | 9528835375 |
Fax Number: | 6512547033 |
NPI Enumeration Date: | 12/20/2005 |
NPI Last Update Date: | 12/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0500X |
License Number: | 28137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |