Individual
DR. WILLIAM BRADLEY GOELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3203 STEIN BLVD, EAU CLAIRE, WI 54701-6917
(715) 552-1342
Mailing address
203 UNITED WAY, FREDERIC, WI 54837-8938
(715) 327-4402
(715) 327-8509
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2609-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223E4GO
BCBS OF MN
MN
05
—
39151900
—
WI
01
—
855751047520
PREFERRED ONE
MN
01
—
HP668411
HEALTH PARTNERS
MN
Enumeration date
11/17/2006
Last updated
07/09/2007
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