Individual
DUSTIN DOMINIC GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 E GREENFIELD LN STE 100, BISMARCK, ND 58503-6597
(701) 223-7822
(701) 223-7844
Mailing address
202 E GREENFIELD LN STE 100, BISMARCK, ND 58503-6597
(701) 223-7822
(701) 223-7844
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15745
ND
207LP2900X
Pain Medicine (Anesthesiology) Physician
PT15745
ND
Other
Enumeration date
05/21/2014
Last updated
09/22/2021
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