| David D Goetz, CRNA | |
| 
					69 Exchange St W, St Paul, MN 55102  | |
| (651) 735-0501 | |
| (651) 735-1870 | 
| Full Name | David D Goetz | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 69 Exchange St W, St Paul, Minnesota | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760581755 | NPI | - | NPPES | 
| 122218000 | Medicaid | MN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R1135291 (Minnesota) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| David D Goetz, CRNA 8681 Eagle Point Blvd, Lake Elmo, MN 55042-8628 Ph: (651) 251-8021  | David D Goetz, CRNA 69 Exchange St W, St Paul, MN 55102 Ph: (651) 735-0501  | 
Lee Rivard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048  | |
Robert A Lamppa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870  | |
Virginia M Glendenning, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870  | |
Robert D West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048  | |
Morli J Gamm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870  | |
Joyce Jacobson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048  | |
Matthew J Kuckler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 69 Exchange St W, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870  |