Individual
VICKI L GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
3727 W WISCONSIN AVE, MILWAUKEE, WI 53208-3182
(414) 291-2626
(414) 431-0050
Mailing address
3727 W WISCONSIN AVE, MILWAUKEE, WI 53208-3182
(414) 291-2626
(414) 431-0050
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
148838-32
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508197815
—
WI
Enumeration date
01/26/2010
Last updated
08/29/2012
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