Individual
MICHELLE M GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
105 E RUSCH ST, THORP, WI 54771-9218
(715) 321-1982
Mailing address
PO BOX 144, THORP, WI 54771-0144
(715) 321-1982
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
166860
WI
Other
Enumeration date
06/15/2011
Last updated
11/15/2021
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