Doctor Name: | MARIE GOETZ |
NPI Number: | 1770702219 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN - 171194 |
Business Practice Address: | 12342 Riga Hwy Ottawa Lake, MI - 492679301 |
Business Phone Number: | 5174862700 |
Business Fax Number: | |
Mailing Address: | 12342 Riga Hwy, OTTAWA LAKE |
State: | MI |
Postal Code: | 492679301 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | RN - 171194 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |