Goddard Clinic Pc

NPI 1427266113 - General Practice - 208D00000X

NPI Details
NPI 1427266113
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH WILLIAM KENNETH
Position PRESIDENT
Phone (313) 386-3960
Fax (313) 386-0145
Practice Location
17234 GODDARD RD
ALLEN PARK MI, 48101-4100, US
Phone (313) 386-3960
Fax (313) 386-0145
Business Location
17234 GODDARD RD
ALLEN PARK MI, 48101-4100, US
Phone (313) 386-3960
Fax (313) 386-0145
Toxanomy
Taxonomy Code 208D00000X
License State Michigan
License Number 5101005616
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According to our database, Goddard Clinic Pc NPI is 1427266113, taxonomy code is 208D00000X and license number is 5101005616, license state is located at Michigan. Goddard Clinic Pc physically located at 17234 Goddard Rd, Allen Park MI, 48101-4100. NPI Number 1033115704 has the healthcare provider type.

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1427266113 NPI number is provided on an as is basis without warranty of any kind. 1427266113 is maintained by the National Plan & Provider Enumeration System. The contents of Goddard Clinic Pc are for informational purposes only.