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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MIRANDA ANNE GOODALE, DPM

Active

DR. MIRANDA ANNE GOODALE, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in BRAZIL, Indiana. NPI 1003858762 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · BRAZIL, IN

Registration Details

NPI Number
1003858762
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2006 (20.157040269828 yrs)
Last Updated
May 31, 2019
Licenses
07001015A (IN)
07001015A (IN)

Practice Information

Address
955 W CRAIG AVE
BRAZIL, IN, 478347400
Browse IN providers · Browse ZIP 47834
Phone
8124489290
Fax
8124489296
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in BRAZIL, IN

Name Credential NPI
DR. RUSSELL C HARMS D.P.M. 1902014301
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.