Individual
DR. ROBERT MICHAEL GOECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M., FACFAS
Contact information
Practice address
3057 TRENWEST DR, WINSTON SALEM, NC 27103-3220
(336) 765-0710
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
685
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
PO2765
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340362900
—
FL
01
—
65607
BLUE CROSS BLUE SHIELD
FL
01
—
65607Y
MEDICARE
FL
Enumeration date
03/22/2006
Last updated
06/23/2023
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