Individual
TODD H. GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4448 W LOOMIS RD, GREENFIELD, WI 53220-4800
(414) 281-1688
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
749-25
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43222400
—
WI
Enumeration date
11/01/2006
Last updated
02/03/2025
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