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Individual

MARK WILLIAM GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MFN, RDN, LD

Contact information

Practice address
2555 S DIXIE DR STE 112, DAYTON, OH 45409-1532
(937) 220-6611
Mailing address
831 CHERRY BLOSSOM DR, WEST CARROLLTON, OH 45449-1517
(937) 829-3798

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD7271
OH
133VN1006X
Metabolic Nutrition Registered Dietitian
LD7271
OH

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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