Individual
SUSAN GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3253 CONGRESS AVE, SAGINAW, MI 48602-3106
(989) 793-4790
(989) 793-1641
Mailing address
3253 CONGRESS AVE, SAGINAW, MI 48602-3106
(989) 793-4790
(989) 793-1641
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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