Doctor Name: | MICHAEL ANTHONY GOEBEL |
NPI Number: | 1366607749 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 415 S 28th Ave Hattiesburg, MS - 394017246 |
Business Phone Number: | 6012685680 |
Business Fax Number: | 6012685778 |
Mailing Address: | 415 S 28th Ave, HATTIESBURG |
State: | MS |
Postal Code: | 394017246 |
Phone Number: | 6015795463 |
Fax Number: | 6015795240 |
NPI Enumeration Date: | 07/24/2008 |
NPI Last Update Date: | 08/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |