Andrea Jo Goethals in Grand Blanc - Surgery
Andrea Jo Goethals - NPI 1104956895
Andrea Jo Goethals is a Surgery in Grand Blanc, Michigan. Andrea Jo Goethals practices all healthcare services and medical treatments related to Surgery. The NPI Number for Andrea Jo Goethals is 1104956895. The last update date is 2009-04-29.
Andrea Jo Goethals's current location address is 8235 Holly Rd, Grand Blanc, Michigan. You can contact this provider via phone number 8106949700 and fax number 8106949940. The mailing address for Andrea Jo Goethals is 8235 Holly Rd, Grand Blanc, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Jo Goethals |
|---|---|
| Address | 8235 Holly Rd, Grand Blanc, Michigan |
| Phone Number | 8106949700 |
| Fax Number | 8106949940 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1104956895 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2009-04-29 |
Provider Mailing Address Detail
| Address | 8235 Holly Rd |
|---|---|
| City | Grand Blanc |
| State | Michigan (MI) |
| Post Code | 484392441 |
| Phone Number | 8106949700 |
| Fax Number | 8106949940 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 5101015223 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114995665 | MI | -- | |
| 46149 | MI | HEALTH PLAN OF MICHIGAN | |
| 6U10108 | MI | HEALTH ALLIANCE PLAN | |
| 1007313 | MI | HEALTH PLUS | |
| 252511984 | MI | BLUE CROSS | |
| 252511984 | MI | BLUE CARE NETWORK | |
| 0N89830006 | MI | BLUE CROSS MEDICARE ADVAN | |
| 1007313 | MI | GENESEE HEALTH PLAN | |
| 382626202 | MI | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Andrea Jo Goethals by the Centers for Medicare & Medicaid Services?
The Andrea Jo Goethals has been assigned the NPI (National Provider Identifier) 1104956895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Andrea Jo Goethals?
The Andrea Jo Goethals is physically situated at 8235 Holly Rd, in the city of Grand Blanc, state of MI, with the postal code 484392441.
What is the Andrea Jo Goethals's specialty and taxonomy code?
The Andrea Jo Goethals's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
When did Andrea Jo Goethals receive its 1104956895 assignment?
The Andrea Jo Goethals was assigned its 1104956895 on 2007-03-06, which is the date when this unique identifier was issued to the organization.
When was the Andrea Jo Goethals's information last updated?
The Andrea Jo Goethals's information was last updated on 2009-04-29.