Stephen R Goetter M.D.

NPI 1003872219 - Internal Medicine - 207R00000X

NPI Details
NPI 1003872219
Gender Male
Enumeration Date 04/25/2006
Last Updated 09/04/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
304 W HAY ST
STE 312
DECATUR IL, 62526-6328, US
Phone (217) 876-5600
Fax (217) 876-5664
Business Location
DECATUR IL, 62526-4163, US
Phone (217) 876-2857
Fax (217) 876-2874
Taxonomy Code 207R00000X
License State Illinois
License Number 036055312
Remove 1003872219 NPI Number

According to our database, Dr. Stephen R Goetter M.D. NPI is 1003872219, taxonomy code is 207R00000X and license number is 036055312, license state is located at Illinois. Stephen R Goetter M.D. physically located at 304 W Hay St, Decatur IL, 62526-6328. NPI Number Stephen R Goetter M.D. has the Individual type.

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1003872219 NPI number is provided on an as is basis without warranty of any kind. 1003872219 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen R Goetter M.D. are for informational purposes only.