Individual
PROF. AVIEL GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1347 SUMMIT AVE, SAINT PAUL, MN 55105-2219
(651) 649-0847
Mailing address
1347 SUMMIT AVE, SAINT PAUL, MN 55105-2219
(651) 649-0847
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31667
MN
2084P0802X
Addiction Psychiatry Physician
31667
MN
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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