Individual
MICHAEL C GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
1414 W LOMBARD STREET, DAVENPORT, IA 52804-2148
(563) 322-0971
(563) 322-1780
Mailing address
3565 UTICA RIDGE RD, BETTENDORF, IA 52722-1645
(563) 344-0786
(563) 344-7536
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
041322709
IL
163WM0705X
Medical-Surgical Registered Nurse
Primary
049407
IA
Other
Enumeration date
01/10/2006
Last updated
09/08/2008
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