Individual
JOHANNA GOLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2236 N MERRITT CREEK LOOP STE A, COEUR D ALENE, ID 83814-4960
(208) 625-3800
(208) 625-3801
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-3800
(208) 625-3801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1848
ID
Other
Enumeration date
07/18/2017
Last updated
03/06/2020
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