Individual
CARL GOEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1177 QUAIL CT, SUITE 200, PEWAUKEE, WI 53072-3790
(262) 695-3057
Mailing address
1177 QUAIL CT, SUITE 200, PEWAUKEE, WI 53072-3790
(262) 695-3057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12051-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123CGOEHNE
—
WI
Enumeration date
06/27/2012
Last updated
06/17/2015
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