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PAUL F. GOERKE D.O. PC NPI 1588711881


NPI Information

NPI: 1588711881
Provider Name: PAUL F. GOERKE D.O. PC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
24906 MICHIGAN AVE
DEARBORN, MI
ZIP 48124
Phone: (313) 562-0977
Get Directions

PAUL F. GOERKE D.O. PC is a rheumatology internal medicine in Dearborn, MI. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. PAUL F. GOERKE D.O. PC NPI is 1588711881. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24906 MICHIGAN AVE
DEARBORN, MI
ZIP 48124-740
Phone: (313) 562-0977
Fax: (313) 562-3276

The provider's authorized official is Paul Frederick Goerke .
The authorized official title is President and has the following contact phone number (313) 562-0977.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 10/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatology5101005801MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
158221656111MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
21393510MEDICAIDMICHIGAN
3B46555MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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