Goerke, Derek

Goerke, Derek is an individual health care provider with primary practice located at 11850 Blackfoot St Nw Ste 300 , Coon Rapids MN 55433-2772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Goerke, Derek can be contacted via phone (763) 236-9000.

Contact Information

Primary practice address
11850 Blackfoot St Nw Ste 300 Coon Rapids MN 55433-2772
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 62180 Minnesota

Profile Details

NPI number 1831519636
LBN Legal business name Goerke, Derek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2014
Last updated Sep 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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