Individual
WILLIAM THOMAS GODFREY
Active
Individual
WILLIAM THOMAS GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
35121403
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35121403
OH
390200000X
Student in an Organized Health Care Education/Training Program
4301088488
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35121403
OHIO MEDICAL LICENSE
OH
01
—
4301088488
MICHIGAN MEDICAL LICENSE
—
Enumeration date
04/09/2007
Last updated
12/27/2021
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