Individual
MICHAEL R GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9239 W CENTER RD, SUITE 221, OMAHA, NE 68124
(402) 354-8025
(402) 354-8044
Mailing address
9239 W CENTER RD, SUITE 221, OMAHA, NE 68124
(402) 354-8025
(402) 354-8044
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18052
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47084284026
—
NE
Enumeration date
02/22/2006
Last updated
08/09/2023
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