Individual
MRS. DANIELLE BROOKE MORGAN-GOERKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
F282/2A WEST 2450 RIVERSIDE AVE., MINNEAPOLIS, MN 55454
(612) 273-9800
(612) 273-9779
Mailing address
6728 POLARIS LN N, MAPLE GROVE, MN 55311-3211
(816) 456-0511
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
261QM1300X
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972779759
BLUE CROSS/ BLUE SHIELD OF MN
MN
01
—
52497
MINNESOTA MEDICAL LICENSE
MN
Enumeration date
05/01/2008
Last updated
12/18/2013
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