Organization
PROTOTYPE HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L GOETSCH DC (DIRECTOR)
(850) 776-3237
Entity
Organization
Contact information
Practice address
434 N TRADE ST # 103, MATTHEWS, NC 28105-1864
(850) 776-3237
Mailing address
2085 CRAMER CIR APT 303, INDIAN LAND, SC 29707-7860
(850) 776-3237
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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