Individual
HENRY T. GOITZ
Active
Individual
HENRY T. GOITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301060409
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286731610
—
MI
01
—
700H262250
BLUE CROSS-BLUE CROSS
—
01
—
HG060409
CHAMPUS-CHAMPUS
—
Enumeration date
11/28/2006
Last updated
03/02/2010
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