Maxwell Goodmanson

NPI #1841968351 in Saint Paul, Minnesota

Provider Information

NPI Number: 1841968351
Entity Type: Individual
Name: Maxwell Goodmanson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Enumeration Date: Aug 31, 2021
Last Updated: Sep 7, 2021

Practice Location

Address: 360 SHERMAN ST STE 160
City: Saint Paul
State: Minnesota
ZIP Code: 55102-2425
Phone: (651) 291-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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