Individual
ROY HOWARD GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13911 RIDGEDALE DR, SUITE 350, MINNETONKA, MN 55305-1771
(952) 932-9012
Mailing address
7631 SANDHILL TER NE, CARLOS, MN 56319-8168
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0901484
MN
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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