Timothy C Goertzen in Roseville - Diagnostic Radiology
Timothy C Goertzen - NPI 1821076068
Timothy C Goertzen is a Diagnostic Radiology in Roseville, Minnesota. Timothy C Goertzen practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Timothy C Goertzen is 1821076068. The last update date is 2021-07-12.
Timothy C Goertzen's current location address is 2355 Highway 36 W Ste 100, Roseville, Minnesota. You can contact this provider via phone number 6512922000 and fax number 6512922178. The mailing address for Timothy C Goertzen is 2355 Highway 36 W Ste 100, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy C Goertzen |
|---|---|
| Address | 2355 Highway 36 W Ste 100, Roseville, Minnesota |
| Phone Number | 6512922000 |
| Fax Number | 6512922178 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1821076068 |
|---|---|
| Provider Enumeration Date | 2006-01-06 |
| Last Updated Date | 2021-07-12 |
Provider Mailing Address Detail
| Address | 2355 Highway 36 W Ste 100 |
|---|---|
| City | Roseville |
| State | Minnesota (MN) |
| Post Code | 551133905 |
| Phone Number | 6512922000 |
| Fax Number | 6512922178 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 43154 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 800326200 | MN | -- |
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What is the unique identification code assigned to Timothy C Goertzen by the Centers for Medicare & Medicaid Services?
The Timothy C Goertzen has been issued the NPI (National Provider Identifier) 1821076068. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Timothy C Goertzen's physical address?
The Timothy C Goertzen is physically located at 2355 Highway 36 W Ste 100, in the city of Roseville, MN, with the postal code 551133905.
What is Timothy C Goertzen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Timothy C Goertzen's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
When did the Timothy C Goertzen receive its 1821076068?
The Timothy C Goertzen was issued its 1821076068 on 2006-01-06, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Timothy C Goertzen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Timothy C Goertzen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-07-12.