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Individual

JUDIE R. GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
IHA HEMATOLOGY ONCOLOGY OAKLAND, 44405 WOODWARD AVENUE, SUITE 202, PONTIAC, MI 48341-5023
(248) 858-2270
(248) 335-6171
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(248) 552-0620
(248) 552-0286

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5101007915
MI
207RH0003X
Hematology & Oncology Physician
JG007915
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112933190
MI
Enumeration date
06/21/2006
Last updated
09/28/2022
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