Search › Minnesota › 103T00000X
Mark Goetz, PHD
NPI 1780978023 · on the registry since 2011
Practice
- Address
- 11269 Jefferson Hwy N
Champlin, MN 55316 - Phone
- (763) 236-0600
- Organisation at this address
- Allina Health System
Allina Health SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TR0400X
208100000X
103TC0700X
103TC1900X
103TC2200X
103TF0000X
103TH0004X - Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota