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Individual

JAMES H GODFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-5541
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
64402
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100046806
WI
Enumeration date
02/13/2007
Last updated
07/30/2024
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