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Search › Indiana › 225100000X

Cory Goodson

NPI 1013292754 · on the registry since 2011

Practice

Address
1420 E Douglas Rd
Mishawaka, IN 46545
Phone
(574) 307-7200
Organisation at this address
Extendicare Health Facilities, Inc.
The Health And Hospital Corporation Of Marion County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana