David Allen Golke | Alexandria, MN • PECOS Search

David Allen Golke

Dentist

Dental Providers

2306 S Broadway St, Alexandria, MN 56308-3459

PECOS Enrollment

Based on the most recent information from CMS, provider David Allen Golke does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1295855906
Provider Type
Individual
Full Name
Golke, David Allen
Title
Dr.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/29/2007
Last Updated
7/8/2007

Contact Information

Practice Location

2306 S Broadway St, Alexandria, MN 56308-3459

Unlisted Fax

Mailing Location

1119 S Darling Dr NW, Alexandria, MN 56308-4906

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 9799 Minnesota