MEDICARE: DR. SUMEET KUMAR GOEL D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	60024-21	WI

General Provider Information

NPI Number	:	1073824470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUMEET KUMAR GOEL D.O.

Provider Business Mailing Address
First Line	:	2501 MAIN ST
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54481-4000
Country	:	US
Telephone Number	:	800-942-5330
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 MAIN ST
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54481-4000
Country	:	US
Telephone Number	:	800-942-5330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2010
Last Update Date	:	06/30/2025

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