MEDICARE: MARIE GOETZ

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	163WC0400X	Case Management Registered Nurse	RN - 171194	OH

General Provider Information

NPI Number	:	1770702219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE GOETZ

Provider Business Mailing Address
First Line	:	12342 RIGA HWY
Second Line	:
City	:	OTTAWA LAKE
State	:	MI
Zip	:	49267-9301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12342 RIGA HWY
Second Line	:
City	:	OTTAWA LAKE
State	:	MI
Zip	:	49267-9301
Country	:	US
Telephone Number	:	517-486-2700
Fax Number	:

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

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1790784916 — MR. HARRY BUBERNIAK JR. DC
Practice Location Address:

6399 SYLVANIA PETERSBURG RD
OTTAWA LAKE, MI
49267-9518

Practice Phone: 734-888-1181
Practice Fax: 734-888-1112

1225066152 — BARRY CRAIG EITEL M.S.W
Practice Location Address:

4315 PIEHL RD
OTTAWA LAKE, MI
49267-8710

Practice Phone: 419-260-5552
Practice Fax:

1841206265 — MRS. SARA LYNN VIDA ATC
Practice Location Address:

9800 TURK RD
OTTAWA LAKE, MI
49267-8733

Practice Phone: 734-856-7048
Practice Fax:

1326138595 — MR. JOHN R DEBRUYNE II M.S.W., M.B.A
Practice Location Address:

6833 SYLVANIA PETERSBURG RD
OTTAWA LAKE, MI
49267-9523

Practice Phone: 734-854-6207
Practice Fax: 419-824-1558

1134250764 — BARRY C EITEL, INC.
Practice Location Address:

4315 PIEHL RD
OTTAWA LAKE, MI
49267-8710

Practice Phone: 419-260-5552
Practice Fax:

1235796152 — LAURIE ANN MARSH
Practice Location Address:

5710 CONSEAR RD
OTTAWA LAKE, MI
49267-9772

Practice Phone: 419-345-5581
Practice Fax:

Directions to “ MARIE GOETZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.