Individual
DR. MARC HOWARD GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
119 6TH AVE E, ALEXANDRIA, MN 56308-1801
(320) 762-8185
(320) 762-8186
Mailing address
119 6TH AVE E, ALEXANDRIA, MN 56308-1801
(320) 762-8185
(320) 762-8186
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1436
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230281
CCMI
MN
05
—
499325000
—
MN
01
—
61452GO
BCBS
MN
Enumeration date
06/28/2005
Last updated
10/28/2014
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