Organization
MARK J GOETHE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J GOETHE MD (PRESIDENT)
(989) 832-0323
Entity
Organization
Contact information
Practice address
7101 W WACKERLY ST, MIDLAND, MI 48642
(989) 832-0323
(989) 631-0886
Mailing address
7101 W WACKERLY ST, MIDLAND, MI 48642
(989) 832-0323
(989) 631-0886
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4101405876
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2971771
—
MI
Enumeration date
10/21/2006
Last updated
08/22/2020
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