Individual
MR. MARTIN DANIEL GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
534 MAIN ST STE 14, MEDINA, NY 14103-1436
(585) 798-3992
Mailing address
2902 COOMER RD, NEWFANE, NY 14108-9613
(716) 778-0230
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
349871-1
NY
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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