Organization
BRIAN GOODWIN DPM PC
Active
Parent organization
BRIAN GOODWIN DPM PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIAN GOODWIN DPM PC
Authorized official
MRS. DEBRA L MACHIN (OFFICE MANAGER)
(248) 651-0008
Entity
Organization
Contact information
Practice address
4737 24 MILE RD, SUITE 2, SHELBY TOWNSHIP, MI 48316-3148
(248) 651-0008
(248) 651-6988
Mailing address
4737 24 MILE RD, SUITE 2, SHELBY TOWNSHIP, MI 48316-3148
(248) 651-0008
(248) 651-6988
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1461520001
MI
Other
Enumeration date
12/27/2007
Last updated
02/20/2008
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