MR. Charles Daniel Godfrey, PA-C

NPI #1467497040 in Tomah, Wisconsin

Provider Information

NPI Number
1467497040
Entity Type
Individual
Name
MR. Charles Daniel Godfrey, PA-C
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jun 18, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
500 E VETERANS ST
City
Tomah
ZIP Code
54660-3105
Phone
(608) 372-1798

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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