Individual
SUSAN MARY GOODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
504 C. AVENUE, KALONA, IA 52247-9743
(319) 656-4333
Mailing address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
(563) 262-4110
(563) 264-9195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23664
IA
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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