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Matthew B Goodfellow, CDT
Technician/Technologist in Sparta, Michigan
NPI 1023775459

Matthew B Goodfellow is a Technician/Technologist based in Sparta, MI. Matthew B Goodfellow practices in Sparta, MI and has the professional credentials of CDT. The NPI Number for Matthew B Goodfellow is 1023775459 and holds a License No. (Michigan).

The current practice location address for Matthew B Goodfellow is 2633 11 Mile Rd Nw, Sparta, MI and can be reached out via phone at 616-773-8339.

Location: 2633 11 Mile Rd Nw, Sparta, MI, 49345-9751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023775459
Provider Name
Matthew B Goodfellow
Credential
CDT
Provider Entity Type
Individual
Gender
Male
Address
2633 11 Mile Rd Nw, Sparta, MI, 49345-9751
Phone Number
616-773-8339
Fax Number
Provider Enumeration Date
11/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2633 11 Mile Rd Nw
City
Sparta
State
Michigan
Zip
49345-9751
Phone Number
616-773-8339
Fax Number
person
Provider Business Mailing Address Details
Address
2633 11 Mile Rd Nw
City
Sparta
State
Michigan
Zip
49345-9751
Phone Number
616-773-8339
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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