NPI 1841968351

Maxwell Goodmanson

Practitioner Orthotist Saint Paul, MN

Practice location

Address: 360 Sherman St STE 160, Saint Paul, MN 55102-2425
Phone: (651) 291-9000

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 1104163187 (MN)

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Registry record

NPI: 1841968351
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2021
Record last updated: 7 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.