Individual
DR. EDWARD EUGENE GOETTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
401 W PRARIE ST., JERSEYVILLE, IL 62052-2550
(618) 498-3834
Mailing address
401 W PRAIRIE ST, JERSEYVILLE, IL 62052-2550
(618) 498-3834
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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