Individual
JAMES A GOEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZI0100X
Immunopathology Physician
Primary
19093
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
19093
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0224386
—
IA
05
—
1224386
—
IA
01
—
22438
WELLMARK BCBS
IA
01
—
33935
WELLMARK BCBS
IA
Enumeration date
10/10/2005
Last updated
12/18/2007
Update your record
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