Individual
MARY JO GOODCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, UNIVERSITY HOSPITAL, ANN ARBOR, MI 48109-4256
(734) 936-4000
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704161541
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4070578
—
MI
Enumeration date
01/04/2006
Last updated
04/26/2012
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