Individual
DR. SUSAN ERICKSON GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10625 W NORTH AVE STE 102, MILWAUKEE, WI 53226
(414) 877-5350
Mailing address
212 S BARCLAY ST APT 413, MILWAUKEE, WI 53204-1490
(608) 692-6692
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
68262-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
10/12/2020
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