Individual
BRYAN MICHEAL GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 739-9341
Mailing address
11716 N JEROME RD, SAINT LOUIS, MI 48880-9724
(989) 560-2662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006008
MI
Other
Enumeration date
04/19/2011
Last updated
03/28/2013
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