Paul Martin Godich

NPI #1831175371 in Greenfield, Wisconsin

Provider Information

NPI Number: 1831175371
Entity Type: Individual
Name: Paul Martin Godich
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Enumeration Date: Dec 16, 2005
Last Updated: Jan 25, 2017

Practice Location

Address: 3670 S 108TH ST
Address 2: STE 204
City: Greenfield
State: Wisconsin
ZIP Code: 53228-1237
Phone: (414) 453-1010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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