Individual provider · NPI-1

Dr. Ruth M Goehle, M.D.

Internal Medicine · White Bear Lake, MN

NPI number1760712665
StatusActive
Last updated in NPPESDec 28, 2009

Details

NPI
1760712665
Entity type
Individual (NPI-1)
Name
Dr. Ruth M Goehle
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 28, 2009
Last updated
Dec 28, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine19158MNYes
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine19158MN

Practice location

3438 Willow Ave
White Bear Lake, MN 55110-5335

Phone 651-770-6718

Mailing address

3438 Willow Ave
White Bear Lake, MN 55110-5335

Phone 651-770-6718

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