Individual
TODD M GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
30 W. 2ND STR., KINGSLEY, IA 51028
(712) 378-2958
Mailing address
PO BOX 485, KINGSLEY, IA 51028-0485
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
06397
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230359
—
IA
Enumeration date
03/22/2007
Last updated
07/08/2007
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