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Russell Goodman
NPI 1922864578 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1452 Edgewood Ln
Milford, MI 48381 - Phone
- (248) 787-4570
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-22
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 Michigan