Individual
DR. MARK JAMES GOETHE
Active
Individual
DR. MARK JAMES GOETHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301405876
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005601332
BCBS
MI
05
—
2971771
—
MI
01
—
P72856
BCN
MI
Enumeration date
07/24/2006
Last updated
09/25/2017
Update your record
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