Mini B Goddard M D P C

NPI #1528112679 in Riverview, Michigan

Provider Information

NPI Number
1528112679
Entity Type
Organization
Organization Name
Mini B Goddard M D P C
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Jan 23, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
14600 KING RD
Address 2
SUITE A
ZIP Code
48193-7952
Phone
(734) 479-7800

Authorized Official

Name
MINI B GODDARD, M.D.
Title
PRESIDENT
Phone
(734) 479-7800

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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