Individual
SHAUN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 835-9880
(952) 857-1554
Mailing address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 835-9880
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01071241A
IN
207P00000X
Emergency Medicine Physician
55315-020
WI
207P00000X
Emergency Medicine Physician
Primary
66774
MN
Other
Enumeration date
06/05/2009
Last updated
12/30/2021
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