Individual
DR. BRIAN KEITH GOODROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
701 PARK AVE, B1.290, MINNEAPOLIS, MN 55415-1623
(612) 873-2700
(612) 904-4440
Mailing address
701 PARK AVE, B1.290, MINNEAPOLIS, MN 55415-1623
(612) 873-2700
(612) 904-4440
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R1051731
MN
Other
Enumeration date
05/18/2006
Last updated
02/04/2011
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