Individual
MARIE GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12342 RIGA HWY, OTTAWA LAKE, MI 49267-9301
(517) 486-2700
Mailing address
12342 RIGA HWY, OTTAWA LAKE, MI 49267-9301
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN - 171194
OH
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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