Individual
DR. EMILIE GOODYEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDCM
Contact information
Practice address
420 DELAWARE ST SE, MMC 493, MINNEAPOLIS, MN 55455-0341
(612) 625-4400
(612) 626-3119
Mailing address
420 DELAWARE ST SE, MMC 493, MINNEAPOLIS, MN 55455-0341
(612) 625-4400
(612) 626-3119
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
52783
MN
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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