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Contact Information

BRIAN L GOODWIN, DPM
50505 SCHOENHERR RD STE 230
SHELBY, MI48315-3140
 Phone: 248-651-0008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRIAN L GOODWIN · (Male)

NPI Number 1124027321
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/19/2005
Last updated 03/24/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5901400156
  • MI Medicaid 1906797
  • Other 485505278 BX
  • Other 4661520001 DMERK
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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