Individual
DR. SHARON DIANE GOOSMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
900 BECKER AVE. SE, WILLMAR, MN 56201
(320) 235-9194
(320) 235-1882
Mailing address
900 BECKER AVE. SE, WILLMAR, MN 56201
(320) 235-9194
(320) 235-1882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2612
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60698GO
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
10/05/2006
Last updated
07/09/2007
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