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NPI Profile for Dr EMILIE GOODYEAR in MINNEAPOLIS, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI # | 1114230943 |
|
| Status | Active | |
| Credentials | MDCM | |
| Entity | Individual | |
| Enumeration date | 07/21/2010 | |
| Last updated | 07/21/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EMILIE GOODYEAR
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EMILIE GOODYEAR, MDCM