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Organization

RL GOETHKE MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RANDAL L GOETHKE M.D. (PRESIDENT)
(920) 731-4101
Entity
Organization

Contact information

Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
Mailing address
PO BOX 8031, APPLETON, WI 54912-8031
(866) 313-0337
(920) 739-0124

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
WI

Other

Enumeration date
03/20/2007
Last updated
11/22/2011
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