Individual
DR. STACEY D. GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 HIGH ST STE 100, TECUMSEH, NE 68450-2443
(402) 335-2811
(402) 335-2826
Mailing address
PO BOX 538, TECUMSEH, NE 68450-0538
(402) 335-2811
(402) 335-2826
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16657
NE
Other
Enumeration date
08/03/2006
Last updated
01/17/2022
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