Individual
WILLIAM THOMAS GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(419) 251-3119
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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