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Individual

MICHAEL ALLEN GOEDDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
120 KEAWE ST, HILO, HI 96720-2874
(808) 437-8200
(808) 201-9892
Mailing address
PO BOX 10243, HILO, HI 96721-5243
(808) 437-8200
(808) 201-9892

Taxonomy

Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
61-20399
HI
2084P0800X
Psychiatry Physician
042-0012732
VT
2084P0800X
Psychiatry Physician
Primary
MD-21638
HI

Other

Enumeration date
10/02/2009
Last updated
09/19/2024
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