Organization
PAUL F. GOERKE D.O. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL FREDERICK GOERKE D.O. (PRESIDENT)
(313) 562-0977
Entity
Organization
Contact information
Practice address
24906 MICHIGAN AVE, DEARBORN, MI 48124-1740
(313) 562-0977
(313) 562-3276
Mailing address
24906 MICHIGAN AVE, DEARBORN, MI 48124-1740
(313) 562-0977
(313) 562-3276
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
5101005801
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1393510
—
MI
Enumeration date
01/05/2007
Last updated
10/01/2008
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