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Individual

CYNTHIA G. GOETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9053
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
802588600
MN
Enumeration date
07/04/2006
Last updated
04/30/2020
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