Individual
PENNY C HODGES-GOETZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
280 SMITH AVE N, SUITE 234, SAINT PAUL, MN 55102-2424
(651) 241-6550
(651) 227-7066
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R-125650-7
MN
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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