Individual
DR. JAMES HEINRICH GOETTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4853 PULASKI HWY STE 300, PERRYVILLE, MD 21903-1626
(410) 642-2289
Mailing address
4853 PULASKI HWY STE 300, PERRYVILLE, MD 21903-1626
(410) 642-2289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0105440
MD
208D00000X
General Practice Physician
Primary
MT228577
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2023
Last updated
08/12/2026
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