Individual
MR. ANDREW STANLEY GOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-3700
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3852
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2016
Last updated
11/09/2020
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