Individual
STEVEN A GOEDDERZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1420 ALGOMA ST, NEW LONDON, WI 54961-2104
(920) 982-8300
Mailing address
1420 ALGOMA ST, NEW LONDON, WI 54961-2104
(920) 982-8300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38372
WI
Other
Enumeration date
06/23/2006
Last updated
10/18/2012
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