Provider Demographics
NPI:1255317376
Name:GOERTZ, MICHAEL N (MD)
Entity Type:Individual
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First Name:MICHAEL
Middle Name:N
Last Name:GOERTZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-254-7033
Practice Address - Street 1:401 PHALEN BLVD - MS 11503G
Practice Address - Street 2:HEALTHPARTNERS SPECIALTY CENTER 401
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-5302
Practice Address - Country:US
Practice Address - Phone:651-254-3490
Practice Address - Fax:651-254-7033
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2011-12-14
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Provider Licenses
StateLicense IDTaxonomies
MN281372083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine