Individual
CASEY JAMES GOODYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-6000
Mailing address
1605 15TH AVE NE, GRAND FORKS, ND 58201-9616
(701) 799-2105
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22705
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2019
Last updated
08/18/2025
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