Individual
ANGUS G GOETZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
2230 E MITCHELL RD STE A, PETOSKEY, MI 49770-6601
(231) 622-8103
Mailing address
2230 E MITCHELL RD STE A, PETOSKEY, MI 49770-6601
(231) 622-8103
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101010937
MI
207X00000X
Orthopaedic Surgery Physician
7949A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4389576
—
MI
01
—
C20677
RAILROAD MEDICARE
MI
Enumeration date
12/07/2005
Last updated
03/10/2026
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