Individual
DR. ROBERT J GOODWILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 HIGH PT, FORT MADISON, IA 52627-3100
(319) 372-8287
Mailing address
5 HIGH PT, FORT MADISON, IA 52627-3100
(319) 372-8287
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
32100
IA
207Q00000X
Family Medicine Physician
Primary
32100
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3168252
—
IA
01
—
48652
WELLMARK
IA
Enumeration date
11/03/2005
Last updated
07/29/2013
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