Individual
MR. DAVID J GOODYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3404 S MARTIN LUTHER KING JR BLVD, LANSING, MI 48910-4387
(517) 393-5784
Mailing address
3404 S MARTIN LUTHER KING JR BLVD, LANSING, MI 48910-4387
(517) 393-5784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025693
MI
Other
Enumeration date
05/07/2007
Last updated
09/14/2011
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