MR. MICHAEL GOEDECKE, MS ATC LAT

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1962818914

Practice Address

603 N GRAND AVE
Tahlequah, OK 74464

Phone: (918) 444-3921

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes 957 (OK)

Frequently Asked Questions

NPI 1962818914 is the National Provider Identifier for MR. MICHAEL GOEDECKE, MS ATC LAT, a Specialist/Technologist - Athletic Trainer provider located in Tahlequah, OK. This NPI was enumerated on July 9, 2014.
MR. MICHAEL GOEDECKE, MS ATC LAT practices at 603 N GRAND AVE, Tahlequah, OK 74464.

Quick Facts

NPI
1962818914
Type
Individual
Enumerated
Jul 9, 2014
Last Updated
Apr 11, 2017

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