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1487689451
GERALD C GODFREY
MILWAUKEE, WI
NPI
1487689451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine
(Licence: WI 66600)
Enumeration Date
2006-07-11
Last Update Date
2021-11-22
Business Address
GERALD C GODFREY M.D.
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215-4330
Phone number: 414-649-6577
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Mailing Address
GERALD C GODFREY M.D.
2901 W KINNICKINNIC RIVER PKWY STE 309
MILWAUKEE, WI 53215-3660
Phone number: 414-649-1292
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