Individual
MR. DAVID DENNY GOODYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
1000 MAIN SSTREET, SAINT JOSEPH, MI 49085
(269) 983-4828
(269) 983-4292
Mailing address
2656 CARTER RD, COLOMA, MI 49038-9748
(269) 983-4828
(269) 983-4293
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501002334
MI
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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