Individual
MR. BRIAN MICHAEL GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 940-8387
Mailing address
6401 FRANCE AVE S, EDINA, MN 55435
(952) 924-8463
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/08/2011
Last updated
07/24/2017
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