THOMAS E GOODRICH MD SC
Ambulatory Health at Durand Ave, Racine, WI

License number
Wisconsin 28720
Category
Osteopathic Medicine
Type
Family Medicine
License number
Wisconsin 28720
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. THOMAS EDWARD GOODRICH M.D.
Title: PRESIDENT
Phone: (262) 456-1000
Address
Address
6015 Durand Ave SUITE 500, Racine, WI 53406
National Provider ID: 1679712400
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THOMAS E. GOODRICH, M.D., S.C

6015 Durand Ave #500, Racine, WI 53406

Registration:
Jul 28, 1989
State ID:
G022651
Business type:
Service Corporation

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