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Individual
EMILY ANN GOODMAN
Active
Individual
EMILY ANN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01096656A
IN
208600000X
Surgery Physician
036.165209
IL
2086S0129X
Vascular Surgery Physician
Primary
01096656A
IN
2086S0129X
Vascular Surgery Physician
036.165209
IL
Other
Enumeration date
03/20/2018
Last updated
03/13/2026
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