Fredrick William Goetsch, R.N
Registered Nurse in Columbus, WI. Individual provider (NPI-1).
NPI number1639152002
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1639152002
- Entity type
- Individual (NPI-1)
- Name
- Mr. Fredrick William Goetsch
- Credential
- R.N
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2005
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 152303-030 | WI | Yes |
Practice location
1103 Farnham StColumbus, WI 53925-1856
Phone 920-623-0286 · Fax 920-623-0286
Mailing address
1103 Farnham StColumbus, WI 53925-1856
Phone 920-623-0286 · Fax 920-623-0286
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