Individual
DANIELLE GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3225 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9334
(616) 364-1500
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009494
MI
Other
Enumeration date
10/07/2019
Last updated
11/06/2024
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