Individual
ELIZABETH LYNNELLE GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
419 S CORAL ST, KALKASKA, MI 49646-2503
(231) 258-7506
Mailing address
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684-7823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301508505
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2020
Last updated
08/13/2024
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