Individual
BRADLEY P GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3537 W FRONT ST, SUITE E, TRAVERSE CITY, MI 49684-7941
(231) 935-8930
Mailing address
3537 W FRONT ST, SUITE E, TRAVERSE CITY, MI 49684-7941
(231) 935-8930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BG072155
MI
Other
Enumeration date
08/08/2006
Last updated
06/16/2016
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