Individual provider · Type 1 NPI

Madison Leigh Goodman, PA-C

Medical Physician Assistant · Southfield, MI

NPI number 1881467967 Active

Practice location

29877 Telegraph Rd
Southfield, MI 48034-1332

Call (248) 354-0730 Map

Mailing address

42425 Northville Place Dr
Northville, MI 48167-3100

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601013802 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1881467967

Madison Leigh Goodman, PA-C's National Provider Identifier is 1881467967, issued on Nov 1, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Southfield, MI. The record was last updated on Jan 22, 2026.