Individual
MR. DAVID MICHAEL GODSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
20 W PIONEER RD, FOND DU LAC, WI 54935-6152
(920) 907-0556
Mailing address
118 SOUTH MADISON STREET, WAUPUN, WI 53963
(920) 324-5649
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9119
WI
Other
Enumeration date
08/07/2011
Last updated
08/07/2011
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