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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREA JO GOETHALS, D.O.

Active

ANDREA JO GOETHALS, D.O. is a General Surgery healthcare provider located in GRAND BLANC, Michigan. NPI 1104956895 is currently active in the NPPES registry. Verify at CMS.

General Surgery · GRAND BLANC, MI

Registration Details

NPI Number
1104956895
Provider Type
Individual
Gender
Female
NPI Issued
Mar 6, 2007 (19.413522561974 yrs)
Last Updated
Apr 29, 2009
License
5101015223 (MI)

Practice Information

Address
8235 HOLLY RD
SUITE 1
GRAND BLANC, MI, 484392441
Browse MI providers · Browse ZIP 48439
Phone
8106949700
Fax
8106949940
Primary Specialty
General Surgery
208600000X

Other General Surgery Providers in GRAND BLANC, MI

Name Credential NPI
DR. OK KYUN KANG M.D. 1164484630
DR. HEEDONG PARK M.D. 1518929082
DR. BRIAN SCOTT SHAPIRO M.D. 1114989688
CARL G GUTEKUNST D.O. 1821013855
CHRISTOPHER J ASH D.O. 1295751550
JOHN E VANCE D.O. 1427074772
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.