Bennett Ezra Goltz, P.A.-C

NPI #1588825145 in Edina, Minnesota

Provider Information

NPI Number: 1588825145
Entity Type: Individual
Name: Bennett Ezra Goltz, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Jun 17, 2008
Last Updated: Aug 31, 2018

Practice Location

Address: 6363 FRANCE AVE S STE 103
City: Edina
State: Minnesota
ZIP Code: 55435
Phone: (952) 924-5030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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