Organization
CARLOS A GODOY M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY OWENS (CREDENTIALING)
(734) 459-7444
Entity
Organization
Contact information
Practice address
17920 FARMINGTON RD, LIVONIA, MI 48152-3104
(313) 909-1334
Mailing address
17920 FARMINGTON RD, LIVONIA, MI 48152-3104
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
CG033015
MI
Other
Enumeration date
04/25/2011
Last updated
06/20/2018
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