Katrina Goetzke in Burlington - Physician Assistant

Katrina Goetzke - NPI 1326039066

Katrina Goetzke is a Physician Assistant in Burlington, Wisconsin. Katrina Goetzke practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Katrina Goetzke is 1326039066. The last update date is 2021-11-22.

Katrina Goetzke's current location address is 709 Spring Valley Rd, Burlington, Wisconsin. You can contact this provider via phone number 2629719200. The mailing address for Katrina Goetzke is 709 Spring Valley Rd, Burlington, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Katrina Goetzke
Address 709 Spring Valley Rd, Burlington, Wisconsin
Phone Number 2629719200
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1326039066
Provider Enumeration Date 2005-11-02
Last Updated Date 2021-11-22

Provider Mailing Address Detail

Address 709 Spring Valley Rd
City Burlington
State Wisconsin (WI)
Post Code 531057614
Phone Number 2629719200
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1615
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00823724 WI RR MEDICARE
4001300 WI --

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FAQs about Katrina Goetzke

What is the unique provider identifier assigned to Katrina Goetzke?

The Katrina Goetzke has been issued the NPI (National Provider Identifier) 1326039066 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Katrina Goetzke's facilities are situated?

The facilities of Katrina Goetzke are physically located at the following address: 709 Spring Valley Rd, Burlington, WI, 531057614.

What is Katrina Goetzke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Katrina Goetzke is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date was the 1326039066 assigned to Katrina Goetzke?

The Katrina Goetzke was issued its 1326039066 on 2005-11-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Katrina Goetzke's information last updated?

The Katrina Goetzke's information was last updated on 2021-11-22.

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