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Amy Goodman
Student in an Organized Health Care Education/Training Program in Adrian, Michigan
NPI 1225593791

Amy Goodman is a Student in an Organized Health Care Education/Training Program based in Mchenry, MI. Amy Goodman practices in Adrian, MI. The NPI Number for Amy Goodman is 1225593791 and holds a License No. G355-0119-7940 (Michigan).

The current practice location address for Amy Goodman is 1325 Williams St, Adrian, MI and can be reached out via phone at 815-307-0987.

Location: 1325 Williams St, Adrian, MI, 60051-2691
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225593791
Provider Name
Amy Goodman
Credential
Provider Entity Type
Individual
Gender
Female
Address
1325 Williams St, Adrian, MI, 60051-2691
Phone Number
815-307-0987
Fax Number
Provider Enumeration Date
02/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1325 Williams St
City
Adrian
State
Michigan
Zip
49221-2563
Phone Number
815-307-0987
Fax Number
person
Provider Business Mailing Address Details
Address
1325 Williams St
City
Adrian
State
Michigan
Zip
49221-2563
Phone Number
815-307-0987
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
G355-0119-7940 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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