Individual
MICHAEL J GOODWIN
Active
Individual
MICHAEL J GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28576
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0309900001
MEDICARE DME
—
05
—
0885350
—
OH
05
—
64285760
—
KY
Enumeration date
10/13/2006
Last updated
01/06/2015
Update your record
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