Individual
DR. SUZANNE P GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD., INDIANAPOLIS, IN 46202-5149
(317) 944-5000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01073162A
IN
207R00000X
Internal Medicine Physician
A05603724-606-1501
OH
207RI0200X
Infectious Disease Physician
Primary
01073162A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201097500
—
IN
Enumeration date
04/17/2007
Last updated
01/06/2022
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