MEDICARE: DONALD GOLOBEK

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	207X00000X	Orthopaedic Surgery Physician	OS009267L	PA

General Provider Information

NPI Number	:	1093718108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD GOLOBEK

Provider Business Mailing Address
First Line	:	9 WATER ST
Second Line	:
City	:	WELLSBORO
State	:	PA
Zip	:	16901-1117
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 WATER ST
Second Line	:
City	:	WELLSBORO
State	:	PA
Zip	:	16901-1117
Country	:	US
Telephone Number	:	570-724-2325
Fax Number	:

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/25/2021

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Directions to “ DONALD GOLOBEK ” Practice Location

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