Organization
ABBIE GOODMAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABBIE KATHLEEN GOODMAN DC (OWNER/DOCTOR)
(920) 427-6363
Entity
Organization
Contact information
Practice address
612 E LONGVIEW DR, APPLETON, WI 54911-2155
(920) 427-6363
Mailing address
612 E LONGVIEW DR, APPLETON, WI 54911-2155
(920) 427-6363
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5156-12
WI
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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