Individual
JENNIFER GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 CLINTON ST, MUSKEGON, MI 49442-5502
(231) 728-4601
Mailing address
1700 CLINTON ST, MUSKEGON, MI 49442-5502
(231) 728-4601
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
265292
NY
Other
Enumeration date
09/09/2011
Last updated
08/05/2016
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