Individual
MICHAEL J GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 ASHLAND DR, SUITE 103, ASHLAND, KY 41101-7057
(606) 325-0227
(606) 324-0126
Mailing address
1000 ASHLAND DR, SUITE 103, ASHLAND, KY 41101-7057
(606) 325-0227
(606) 324-0126
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
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