person
Dr. Miranda Anne Goodale, DPM
Foot & Ankle Surgery Podiatrist in Brazil, Indiana
NPI 1003858762

Miranda Anne Goodale is a Foot & Ankle Surgery Podiatrist based in Brazil, IN and is specialized in Foot & Ankle Surgery. Miranda Anne Goodale practices in Brazil, IN and has the professional credentials of DPM. The NPI Number for Miranda Anne Goodale is 1003858762 and holds a License No. 07001015A (Indiana).

The current practice location address for Miranda Anne Goodale is 955 W Craig Ave, Brazil, IN and can be reached out via phone at 812-448-9290 and via fax at 812-448-9296.

Location: 955 W Craig Ave, Brazil, IN, 47834-7400
person
Provider Profile Details
NPI Number
1003858762
Provider Name
Miranda Anne Goodale
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
955 W Craig Ave, Brazil, IN, 47834-7400
Phone Number
812-448-9290
Fax Number
812-448-9296
Provider Enumeration Date
06/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200825350A 05 IN
0385202 01 CIGNA
5692086 01 FIRSTHEALTH
000000392910 01 IN BLUE CROSS BLUE SHIELD
0732240001 01 DMERC WITH PPG
37278 01 IN IHN PPO NETWORK
institution
Provider Business Practice Location Address Details
Address
955 W Craig Ave
City
State
Zip
47834-7400
Phone Number
812-448-9290
Fax Number
812-448-9296
person
Provider Business Mailing Address Details
Address
955 W Craig Ave
City
State
Zip
47834-7400
Phone Number
812-448-9290
Fax Number
812-448-9296
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
07001015A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
07001015A (Indiana)
Definition
Definition to come...
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