Individual
THEODORE LOUIS GOODFRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 OVERLOOK TER, RESEARCH SERVICE, MADISON, WI 53705-2254
(608) 280-7007
(608) 280-7020
Mailing address
2500 OVERLOOK TER, RESEARCH SERVICE, MADISON, WI 53705-2254
(608) 280-7007
(608) 280-7020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15363-020
WI
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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