Samuel Thomas Goracke, CNP
NPI #1144905159 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1144905159
- Entity Type
- Individual
- Name
- Samuel Thomas Goracke, CNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- CNP
- Enumeration Date
- Jun 19, 2023
- Last Updated
- Sep 27, 2023
Practice Location
- Address
- 6500 EXCELSIOR BLVD
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55426-4702
- Phone
- (320) 424-0570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Nurse Practitioner |
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