Goddard Clinic PC
NPI #1427266113 in Allen Park, Michigan
Provider Information
- NPI Number
- 1427266113
- Entity Type
- Organization
- Organization Name
- Goddard Clinic PC
- Primary Specialty
- General Practice
- Enumeration Date
- May 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 17234 GODDARD RD
- City
- Allen Park
- State
- Michigan
- ZIP Code
- 48101-4100
- Phone
- (313) 386-3960
Authorized Official
- Name
- DR. KENNETH WILLIAM DEBYLE, D.O.
- Title
- PRESIDENT
- Phone
- (313) 386-3960
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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