Individual
DR. JOHN ANDREW GOODMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 671-3800
Mailing address
18570 MATTHEWS DRIVE, RIVERVIEW, MI 48193
(801) 885-8850
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02004706A
IN
207P00000X
Emergency Medicine Physician
Primary
5101017019
MI
Other
Enumeration date
05/25/2007
Last updated
03/14/2019
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