Individual
DR. KENNETH MICHAEL GOETZ
Active
Individual
DR. KENNETH MICHAEL GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
161403
NY
2083X0100X
Occupational Medicine Physician
25MA05782700
NJ
2083X0100X
Occupational Medicine Physician
Primary
35-071338
OH
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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