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Individual
DR. MICHAEL TIMOTHY GOCKE
Active
Individual
DR. MICHAEL TIMOTHY GOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401411538
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3585
WV
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
0401411538
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
3585
WV
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
0401411538
VA
Other
Enumeration date
04/02/2007
Last updated
12/12/2016
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