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Susan Mavis Goltz, MD
Obstetrics & Gynecology Physician in Duluth, Minnesota
NPI 1811966500

Susan Mavis Goltz is a Obstetrics & Gynecology Physician based in Duluth, MN. Susan Mavis Goltz practices in Duluth, MN and has the professional credentials of MD. The NPI Number for Susan Mavis Goltz is 1811966500 and holds a License No. 33349 (Minnesota).

The current practice location address for Susan Mavis Goltz is 1000 E 1St St, Duluth, MN and can be reached out via phone at 218-722-5629 and via fax at 218-722-5148.

Location: 1000 E 1St St, Duluth, MN, 55805-2297
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Provider Profile Details
NPI Number
1811966500
Provider Name
Susan Mavis Goltz
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1000 E 1St St, Duluth, MN, 55805-2297
Phone Number
218-722-5629
Fax Number
218-722-5148
Provider Enumeration Date
03/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111079 01 MN UCARE
31754000 05 WI
A005 01 TRICARE
2055782400 05 MN
0725685 01 MEDICA
2F932SW 01 MN BLUE CROSS BLUE SHIELD
346005 01 PREFERRED ONE
HP22608 01 MN HEALTH PARTNERS
institution
Provider Business Practice Location Address Details
Address
1000 E 1St St
City
State
Zip
55805-2297
Phone Number
218-722-5629
Fax Number
218-722-5148
person
Provider Business Mailing Address Details
Address
1000 E 1St St
City
State
Zip
55805-2297
Phone Number
218-722-5629
Fax Number
218-722-5148
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
33349 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
33349 (Minnesota)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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