Individual
DR. MINI B GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1060 EASTWIND DR, WESTERVILLE, OH 43081-3331
(872) 231-3162
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35067560
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2863512
—
OH
Enumeration date
09/12/2005
Last updated
10/03/2025
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