NPI 1063442085

Cynthia G. Goetz, PAC

Practitioner Surgical Physician Assistant Stillwater, MN

Practice location

Address: 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040
Phone: (651) 439-1234
Mailing address: 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 9053 (MN)

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Registry record

NPI: 1063442085
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jul 2006
Record last updated: 30 Apr 2020

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.