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Individual

CHRISTOPHER J GOERDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7847
(319) 384-7723
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7847
(319) 384-7723

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29889
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17255
WELLMARK BCBS
IA
05
2115832
IA
Enumeration date
10/07/2005
Last updated
12/04/2007
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