Susan Mavis Goltz in Duluth - Obstetrics & Gynecology
Susan Mavis Goltz - NPI 1811966500
Susan Mavis Goltz is a Obstetrics & Gynecology in Duluth, Minnesota. Susan Mavis Goltz practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Susan Mavis Goltz is 1811966500. The last update date is 2020-12-04.
Susan Mavis Goltz's current location address is 1000 E 1st St, Duluth, Minnesota. You can contact this provider via phone number 2187225629 and fax number 2187225148. The mailing address for Susan Mavis Goltz is 1000 E 1st St, Duluth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Mavis Goltz |
|---|---|
| Address | 1000 E 1st St, Duluth, Minnesota |
| Phone Number | 2187225629 |
| Fax Number | 2187225148 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811966500 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2020-12-04 |
Provider Mailing Address Detail
| Address | 1000 E 1st St |
|---|---|
| City | Duluth |
| State | Minnesota (MN) |
| Post Code | 558052297 |
| Phone Number | 2187225629 |
| Fax Number | 2187225148 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 33349 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111079 | MN | UCARE | |
| 31754000 | WI | -- | |
| A005 | TRICARE | ||
| 2055782400 | MN | -- | |
| 725685 | MEDICA | ||
| 2F932SW | MN | BLUE CROSS BLUE SHIELD | |
| 346005 | PREFERRED ONE | ||
| HP22608 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan Mavis Goltz by the Centers for Medicare & Medicaid Services?
The Susan Mavis Goltz has been issued the NPI (National Provider Identifier) 1811966500 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Susan Mavis Goltz located?
The Susan Mavis Goltz is located at 1000 E 1St St, Duluth, MN 558052297.
What is the Susan Mavis Goltz's specialty and taxonomy code?
The Susan Mavis Goltz's specialty is Obstetrics & Gynecology, and the corresponding taxonomy code is 207V00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811966500 to Susan Mavis Goltz?
The Susan Mavis Goltz received its 1811966500 assignment from the Centers for Medicare & Medicaid Services on 2006-03-15.
When was the Susan Mavis Goltz's information last updated?
The Susan Mavis Goltz's information was last updated on 2020-12-04.