person
Max Justin Goodman, BS
Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin
NPI 1861192924

Max Justin Goodman is a Student in an Organized Health Care Education/Training Program based in Milwaukee, WI. Max Justin Goodman practices in Milwaukee, WI and has the professional credentials of BS. The NPI Number for Max Justin Goodman is 1861192924 and holds a License No. (Wisconsin).

The current practice location address for Max Justin Goodman is 8701 Watertown Plank Rd, Milwaukee, WI and can be reached out via phone at 561-479-6256.

Location: 8701 Watertown Plank Rd, Milwaukee, WI, 53226-3548
person
Provider Profile Details
NPI Number
1861192924
Provider Name
Max Justin Goodman
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
8701 Watertown Plank Rd, Milwaukee, WI, 53226-3548
Phone Number
561-479-6256
Fax Number
Provider Enumeration Date
03/07/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 MEDICAL STUDENT
institution
Provider Business Practice Location Address Details
Address
8701 Watertown Plank Rd
City
State
Zip
53226-3548
Phone Number
561-479-6256
Fax Number
person
Provider Business Mailing Address Details
Address
8701 Watertown Plank Rd
City
State
Zip
53226-3548
Phone Number
561-479-6256
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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