Individual
CHRISTOPHER B GOODAVISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6868
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
(608) 756-6278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1848
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42871400
—
WI
Enumeration date
04/18/2006
Last updated
06/25/2025
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