Individual
DR. STACEE LYNN GOEDTEL BIRR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
229 S MORRISON ST, APPLETON, WI 54911-5725
(920) 832-2783
(920) 832-2635
Mailing address
853 S MAIN ST, OCONTO FALLS, WI 54154
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65320-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2014
Last updated
06/30/2017
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