Mark G Goetting is a Neurology in Portage, Michigan. Mark G Goetting practices all healthcare services and medical treatments related to Neurology. The NPI Number for Mark G Goetting is 1093778755. The last update date is 2023-11-27.
Mark G Goetting's current location address is 3200 W Centre Ave, Portage, Michigan. You can contact this provider via phone number 2693240799 and fax number 2693248013. The mailing address for Mark G Goetting is 3200 W Centre Ave, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark G Goetting |
|---|---|
| Address | 3200 W Centre Ave, Portage, Michigan |
| Phone Number | 2693240799 |
| Fax Number | 2693248013 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093778755 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 3200 W Centre Ave |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490244889 |
| Phone Number | 2693240799 |
| Fax Number | 2693248013 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 4301044951 |
|
Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1093778755 | MI | -- |
Post Comment/ Review Below
What is the Mark G Goetting's unique identification number?
The Mark G Goetting has been assigned the NPI (National Provider Identifier) Number 1093778755 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Mark G Goetting is geographically located?
The Mark G Goetting is physically situated at the following location: 3200 W Centre Ave, Portage, MI, 490244889.
What is the Mark G Goetting's specialty and taxonomy code?
The Mark G Goetting's specialty is Neurology, and the corresponding taxonomy code is 2084N0400X.
When did the Mark G Goetting receive its 1093778755?
The Mark G Goetting was issued its 1093778755 on 2006-04-11, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Mark G Goetting last refreshed?
The information related to the Mark G Goetting, including its address, specialty, and other relevant details, was last updated on 2023-11-27.