MICHAEL GODDARD

TRAVERSE CITY, MI
NPI1720480791
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: MI  4704297303)
Enumeration Date2014-09-22
Last Update Date2014-09-22
Business Address
MICHAEL GODDARD
105 HALL ST
TRAVERSE CITY, MI 49684-2288
Phone number: 231-922-3850
Mailing Address
MICHAEL GODDARD
12800 S SYLVIA ST
TRAVERSE CITY, MI 49684-5357
Phone number: 231-357-9612