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Individual

JOHN MICHAEL GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2682 BABBLE CREEK LANE, O'FALLON, MO 63368
(636) 978-3000
(636) 978-1821
Mailing address
2682 BABBLE CREEK LANE, O'FALLON, MO 63368
(636) 978-3000
(636) 978-1821

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006533
MO

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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