Individual
MATTHEW J GOEDKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1702 EAGAN RD, MADISON, WI 53704-3702
(608) 243-1234
Mailing address
1702 EAGAN RD, MADISON, WI 53704-3702
(608) 243-1234
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4540 12
WI
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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