IndividualActive
Warren Goodman, MD
NPI 1316906746 · Dermatopathology Physician · Saint Paul, MN
Provider details
- NPI number
- 1316906746
- Entity type
- Individual
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 44982 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-3448
Fax: (651) 254-3470
Approximate (ZIP-level) locationGet directions
Mailing address
8170 33rd Ave S # Ms 21110q
Minneapolis, MN 55425-4516
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2021-05-18
- Certified
- 2021-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.