Goertz, Amanda

Goertz, Amanda is an individual health care provider with primary practice located at 3301 7Th Ave , Anoka MN 55303-4516. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Goertz, Amanda can be contacted via phone (651) 431-5000.

Contact Information

Primary practice address
3301 7Th Ave Anoka MN 55303-4516
Phone: (651) 431-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 53006 Minnesota

Profile Details

NPI number 1356517965
LBN Legal business name Goertz, Amanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2008
Last updated Aug 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356517965 NPPES
New Mexico MEDICAID 26153271

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