Individual
MR. MICHAEL LEE GOETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9200 W WISCONSIN AVE, DEPT OF NEUROSURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115
Mailing address
9200 W WISCONSIN AVE, DEPT OF NEUROSURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12714-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184039836
—
WI
Enumeration date
06/20/2014
Last updated
09/29/2015
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