Individual
DR. CHRISTOPHER MARSHALL GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23 COUNTRY CREEK CIR, SAINT CLOUD, MN 56301-5682
(320) 255-9832
Mailing address
23 COUNTRY CREEK CIR, SAINT CLOUD, MN 56301-5682
(320) 255-9832
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301051654
MI
207R00000X
Internal Medicine Physician
Primary
43157
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136607000
—
MN
Enumeration date
08/31/2006
Last updated
09/30/2010
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