Individual
CRISTINA MARIE GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 SHAFFER ST, KALAMAZOO, MI 49048-1604
(269) 762-1450
Mailing address
1910 SHAFFER ST, KALAMAZOO, MI 49048-1604
(269) 762-1450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704312014
MI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
4704312014
MI
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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