Individual
CASEY GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 544-3000
(734) 544-2906
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 544-3000
(734) 544-2906
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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