Provider Demographics
NPI:1679352827
Name:GOIKE, ANDREW J (PA)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:GOIKE
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:2940 HEALTH PKWY
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-9342
Mailing Address - Country:US
Mailing Address - Phone:989-317-4762
Mailing Address - Fax:989-772-7472
Practice Address - Street 1:2940 HEALTH PKWY
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-9342
Practice Address - Country:US
Practice Address - Phone:989-317-4762
Practice Address - Fax:989-772-7472
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601012038363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant