Individual
DR. CHRISTOPHER K GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2680 W CENTRE AVE, PORTAGE, MI 49024-4828
(269) 324-2400
(269) 327-0450
Mailing address
2680 W CENTRE AVE, PORTAGE, MI 49024-4828
(269) 324-2400
(269) 327-0450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40268
KY
208000000X
Pediatrics Physician
Primary
40268
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C910950
BCBSM
MI
01
—
1104840529
BCBSM - BMG
MI
01
—
1417961137
BCBSM - BMH
MI
05
—
1558306944
—
MI
Enumeration date
06/18/2006
Last updated
11/27/2023
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