Sean E Goretzke in Saint Louis - Neurology With Special Qualifications In Child Neurology

Sean E Goretzke - NPI 1871794172

Sean E Goretzke is a Neurology With Special Qualifications In Child Neurology in Saint Louis, Missouri. Sean E Goretzke practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Sean E Goretzke is 1871794172. The last update date is 2021-01-26.

Sean E Goretzke's current location address is 1465 S Grand Blvd, Saint Louis, Missouri. You can contact this provider via phone number 3142684105 and fax number 3142686411. The mailing address for Sean E Goretzke is 1465 S Grand Blvd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Sean E Goretzke
Address 1465 S Grand Blvd, Saint Louis, Missouri
Phone Number 3142684105
Fax Number 3142686411
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1871794172
Provider Enumeration Date 2007-05-31
Last Updated Date 2021-01-26

Provider Mailing Address Detail

Address 1465 S Grand Blvd
City Saint Louis
State Missouri (MO)
Post Code 631041003
Phone Number 3142684105
Fax Number 3142686411

Provider's Primary Taxonomy Detail

Speciality Neurology With Special Qualifications In Child Neurology
Taxonomy 2084N0402X
Licence No 2007022244
Definition:
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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FAQs about Sean E Goretzke

What is the unique 10-digit identification code assigned to Sean E Goretzke by the Centers for Medicare & Medicaid Services?

The Sean E Goretzke has been issued the NPI (National Provider Identifier) 1871794172, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Sean E Goretzke's physical address?

The Sean E Goretzke is physically located at 1465 S Grand Blvd, in the city of Saint Louis, MO, with the postal code 631041003.

What is Sean E Goretzke's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Sean E Goretzke is Neurology With Special Qualifications In Child Neurology, and the corresponding taxonomy classification code for this specialized field is 2084N0402X.

On what date did Sean E Goretzke receive its 1871794172 assignment from the Centers for Medicare & Medicaid Services?

The Sean E Goretzke was assigned its 1871794172 on 2007-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Sean E Goretzke most recently updated or revised?

The information pertaining to Sean E Goretzke, including its address, specialty, and other relevant details, was last updated or revised on 2021-01-26.

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