Individual
MICHAEL GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
477 COOPER RD STE 480, WESTERVILLE, OH 43081-8095
(614) 823-7135
(614) 823-7137
Mailing address
1810 MACKENZIE DR FL 2, COLUMBUS, OH 43220-2967
(614) 273-2250
(614) 273-2255
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
35.121150
OH
208000000X
Pediatrics Physician
2010017220
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231560
—
OH
Enumeration date
07/08/2010
Last updated
10/11/2023
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