Individual
DR. WILLIAM M GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 CATLIN ST, BUFFALO HOSPITAL, BUFFALO, MN 55313
(763) 684-7500
(763) 684-7152
Mailing address
303 CATLIN ST, BUFFALO, MN 55313-1947
(763) 682-1212
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26778
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26778
MEDICAL LICENSE
MN
05
—
611067300
—
MN
Enumeration date
03/07/2006
Last updated
12/20/2011
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