# DR. SCOTT A. GOECKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750367322
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 46454 | MN | — |
| 207P00000X | Emergency Medicine Physician | 8050 | ND | — |
| 207Q00000X | Family Medicine Physician | 8050 | ND | Yes |

## Other

- **Enumeration date:** 12/15/2005
- **Last updated:** 08/31/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10780 | — | ND |
| 01 | — | N712009 | MEDICARE NUMBER | ND |