Individual
DR. BRIAN LAWRENCE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
50505 SCHOENHERR RD STE 230, SHELBY TOWNSHIP, MI 48315-3140
(248) 651-0008
Mailing address
8175 CARPATHIAN DR, WHITE LAKE, MI 48386-4554
(248) 860-5769
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901400156
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1906797
—
MI
01
—
4661520001
DMERK
—
01
—
485505278
BX
—
Enumeration date
07/19/2005
Last updated
03/24/2026
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