Individual
GALT GOETTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
540 E CANFIELD ST, DETROIT, MI 48201-1928
(313) 577-0714
Mailing address
PO BOX 4101, MANKATO, MN 56002-4101
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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