Individual
BOB ELMER GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
401 WEST 3RD ST., RED WING, MN 55066-4022
(651) 388-4109
Mailing address
2495 WILDWOOD RDG, RED WING, MN 55066-4022
(651) 388-4109
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111549-9
MN
Other
Enumeration date
07/05/2005
Last updated
09/21/2011
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