Individual
JACOB GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 EAST MAIN ST, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400
Mailing address
320 EAST MAIN ST, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30726
MN
2084N0400X
Neurology Physician
Primary
69580
MN
Other
Enumeration date
04/02/2020
Last updated
04/01/2026
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