Individual
DR. JENNIFER L GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
(414) 955-6282
Mailing address
9200 W WISCONSIN AVE, INTERNAL MEDICINE HOSPITALIST, MILWAUKEE, WI 53226-3522
(414) 805-0812
(414) 805-0855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31744
WI
207R00000X
Internal Medicine Physician
31744-20
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD057253L
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD057253L
PA
207RP1001X
Pulmonary Disease Physician
MD057253L
PA
208M00000X
Hospitalist Physician
Primary
31744
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015599400003
—
PA
05
—
1720039951
—
WI
01
—
20274
GEISINGER HEALTH PLAN
PA
01
—
203559
UPMC HEALTH PLAN
PA
01
—
290008338
RAILROAD MEDICARE
—
01
—
72476
UNISON HEALTH PLAN
PA
01
—
828235
HIGHMARK BC/BS
PA
01
—
P000533
GATEWAY HEALTH PLAN
PA
Enumeration date
05/12/2006
Last updated
04/09/2020
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