Individual
KATRINA GOETZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
709 SPRING VALLEY RD, BURLINGTON, WI 53105-7614
(262) 971-9200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1615
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004001300
—
WI
01
—
P00823724
RR MEDICARE
WI
Enumeration date
11/02/2005
Last updated
08/25/2025
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