NPI 1023596665
David M Goetz
Practice location
- Address
- 2525 Lake Ave, Fort Wayne, IN 46805-5407
- Phone
- (260) 484-4153
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1023596665
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Aug 2018
- Record last updated
- 6 Aug 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.