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Individual
KAREN M. GOETZ
Active
Individual
KAREN M. GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC/A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
159
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41112100
—
WI
01
—
P00470799
RR MEDICARE
WI
Enumeration date
06/29/2006
Last updated
12/23/2010
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