Individual
GITTLE G GOODMAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2616 MERIDIAN ST STE 101, BELLINGHAM, WA 98225-2409
(360) 715-9500
(360) 752-1407
Mailing address
2616 MERIDIAN ST STE 101, BELLINGHAM, WA 98225-2409
(360) 715-9500
(360) 752-1407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00039703
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
861079160
TAX ID
—
Enumeration date
02/01/2007
Last updated
10/24/2023
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