Male or Other

Dr. Brian K. Goodroad CNP

Adult Health Nurse Practitioner in Minneapolis, MN(View on Map)

Full Name

Dr. Brian Keith Goodroad CNP

NPI Number

1730132127

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/18/2006

Specialties

(Taxonomies)

Code

363LA2200X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

R1051731

Contact
Information

Purpose

Mailing
Location

Address

701 PARK AVE
701 PARK AVE

City

Minneapolis
Minneapolis

State

MN
MN

Postal Code

55415-1623
55415-1623

Country

US
US

Telephone Number

(612) 873-2700
(612) 873-2700

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/04/2011

Provider Address

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