Individual
GEORGE W GOEDDAEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5815 GULL RD, KALAMAZOO, MI 49048-1094
(269) 226-9433
Mailing address
5400 WALDORF RD, DELTON, MI 49046-7786
(269) 623-5910
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302021999
MI
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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