Doctor Name: | CARLA R GOERISH |
NPI Number: | 1871571893 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 43507 |
Business Practice Address: | 1230 E Main Street Mankato Clinic At Main Street Mankato, MN - 560028674 |
Business Phone Number: | 5076251811 |
Business Fax Number: | |
Mailing Address: | 1230 E Main St Po Box 8674, Mankato Clinic Ltd MANKATO |
State: | MN |
Postal Code: | 560028674 |
Phone Number: | 5076251811 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2006 |
NPI Last Update Date: | 08/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 43507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |