Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 29286 | MN |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 65850 | MN |
NPI | 1033614458 |
---|---|
Provider Name | Andrew James Goates |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2018 |
Last Update Date | 24/08/2020 |