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NPI Code Detail

MEDICARE: SUSAN CAROL GOOD

MEDICARE:   SUSAN CAROL GOOD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical SuppliesMI

General Provider Information

NPI Number : 1407727464
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN CAROL GOOD
Provider Business Mailing Address
First Line : 3021 RIVERSIDE DR
Second Line :
City : PORT HURON
State : MI
Zip : 48060-1898
Country : US
Telephone Number : 248-303-0426
Fax Number :
Provider Business Practice Location Address
First Line : 1201 4TH ST
Second Line :
City : PORT HURON
State : MI
Zip : 48060-5438
Country : US
Telephone Number : 248-303-0426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2025
Last Update Date : 09/15/2025

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Directions to “ SUSAN CAROL GOOD ” Practice Location

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