Susan A. Gootnick in Eden Prairie - Diagnostic Radiology

Susan A. Gootnick - NPI 1386714905

Susan A. Gootnick is a Diagnostic Radiology in Eden Prairie, Minnesota. Susan A. Gootnick practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Susan A. Gootnick is 1386714905. The last update date is 2016-09-30.

Susan A. Gootnick's current location address is 11995 Singletree Ln, Eden Prairie, Minnesota. You can contact this provider via phone number 9525951301 and fax number 6122944903. The mailing address for Susan A. Gootnick is 11995 Singletree Ln, Eden Prairie, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan A. Gootnick
Address 11995 Singletree Ln, Eden Prairie, Minnesota
Phone Number 9525951301
Fax Number 6122944903
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1386714905
Provider Enumeration Date 2006-11-09
Last Updated Date 2016-09-30

Provider Mailing Address Detail

Address 11995 Singletree Ln
City Eden Prairie
State Minnesota (MN)
Post Code 553445347
Phone Number 9525951301
Fax Number 6122944903

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No G23580
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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FAQs about Susan A. Gootnick

What is the unique 10-digit identifier code issued to Susan A. Gootnick by the Centers for Medicare & Medicaid Services?

The Susan A. Gootnick has been assigned the NPI (National Provider Identifier) 1386714905 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Susan A. Gootnick located?

The Susan A. Gootnick is located at 11995 Singletree Ln, Eden Prairie, MN 553445347.

What is Susan A. Gootnick's specialized field of practice, and what is the corresponding taxonomy classification code?

The Susan A. Gootnick's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

On what date did Susan A. Gootnick receive its 1386714905 assignment from the Centers for Medicare & Medicaid Services?

The Susan A. Gootnick was assigned its 1386714905 on 2006-11-09, 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 Susan A. Gootnick most recently updated or revised?

The information pertaining to Susan A. Gootnick, including its address, specialty, and other relevant details, was last updated or revised on 2016-09-30.

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