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Individual

MONICA LOUISE GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
320 E MAIN ST, CUYUNA REGIONAL MEDICAL CENTER, CROSBY, MN 56441-1645
(218) 546-7000
(218) 545-4456
Mailing address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-7000
(218) 545-4456

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35395
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101129
MEDICA
01
080057487
RR MEDICARE
01
089005708
MEDICARE
01
109778C750
UCARE
01
2042748
AETNA
01
236084
AMERICA'S PPO
05
386308500
MN
01
6T327GO
BCBS
01
E034
TRICARE
01
HP24213
HEALTHPARTNERS
01
NS1141008752
PREFERRED ONE
Enumeration date
12/08/2005
Last updated
11/19/2020
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