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Individual
MONICA LOUISE GOODWIN
Active
Individual
MONICA LOUISE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35395
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101129
MEDICA
—
01
—
080057487
RR MEDICARE
—
01
—
089005708
MEDICARE
—
01
—
109778C750
UCARE
—
01
—
2042748
AETNA
—
01
—
236084
AMERICA'S PPO
—
05
—
386308500
—
MN
01
—
6T327GO
BCBS
—
01
—
E034
TRICARE
—
01
—
HP24213
HEALTHPARTNERS
—
01
—
NS1141008752
PREFERRED ONE
—
Enumeration date
12/08/2005
Last updated
11/19/2020
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