Individual
DR. SAMUEL E GODANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
62665
WI
208M00000X
Hospitalist Physician
Primary
62665
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100057826
—
WI
05
—
1760724249
—
WI
Enumeration date
03/22/2013
Last updated
07/07/2025
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