MARC J GOEDERS, PA, Surgical CLIVE, IA

Contact Information

MARC J GOEDERS, PA

12129 UNIVERSITY AVE STE 100
CLIVE, IA 50325-8287

Phone: 515-400-3550
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for MARC J GOEDERS · (Male)

NPI Number	`1639130057`
Status	Active
Credentials	PA (Physician Assistant)
Entity	Individual
Enumeration date	03/28/2006
Last updated	02/07/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	IA License # 001294
Hospital affiliation(s)	MERCY MEDICAL CENTER-DES MOINES - (Acute Care) 1111 6TH AVE DES MOINES, IA 50314 PELLA REGIONAL HEALTH CENTER - (Critical Access) 404 JEFFERSON STREET PELLA, IA 50219 SKIFF MEDICAL CENTER - (Acute Care) 204 NORTH 4TH AVENUE EAST NEWTON, IA 50208

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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MARC J GOEDERS, PA – NPI #1639130057Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for MARC J GOEDERS · (Male)

Reviews for MARC J GOEDERS

MARC J GOEDERS, PA – NPI #1639130057
Surgical