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1518052158
DALE A. GOODMAN
LA PORTE, IN
NPI
1518052158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IN 01041200)
Enumeration Date
2006-10-03
Last Update Date
2009-06-22
Business Address
-- DALE A. GOODMAN MD
1007 LINCOLNWAY
LA PORTE, IN 46350-3201
Phone number: 219-326-1234
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Mailing Address
-- DALE A. GOODMAN MD
800 LINCOLNWAY SUITE 301
LA PORTE, IN 46350-3438
Phone number: 219-324-2229
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