Judie R. Goodman
Hematology & Oncology
22301 Foster Winter Dr 2nd Floor
Southfield
, Michigan 48075-3707
Judie R. Goodman
Hematology & Oncology
22301 Foster Winter Dr 2nd Floor
Southfield
, Michigan 48075-3707
(248) 552-0286
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Judie R. Goodman
- 22301 Foster Winter Dr 2nd Floor
- Southfield, MI
- Zip : 48075-3707
- Fax : (248) 552-0286
- Phone : (248) 552-0620
Second Address
- Judie R. Goodman
- 22301 Foster Winter Dr 2nd Floor
- Southfield, MI
- Zip : 48075-3707
- Fax : (248) 552-0286
- Phone : (248) 552-0620
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | JG007915 | MI |
National Provider Identifier
| NPI | 1003852732 |
|---|---|
| Provider Name | Judie R. Goodman |
| First Address | Southfield, MI 48075-3707 |
| Second Address | Southfield, MI 48075-3707 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2006 |
| Last Update Date | 18/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 112933190 | (05) | MI |
| A73290 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.