Individual
JACOB MICHAEL GOESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
7272 E 37TH ST N APT 1108, WICHITA, KS 67226-3222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2119
KS
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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