Individual
DR. CHARLES BRIEN GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 HIGHWAY 13 E, SUITE 116, BURNSVILLE, MN 55337-2884
(651) 365-3606
(651) 681-9317
Mailing address
501 HIGHWAY 13 E, SUITE 116, BURNSVILLE, MN 55337-2884
(651) 365-3606
(651) 681-9317
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26058
MN
2084P0804X
Child & Adolescent Psychiatry Physician
26058
MN
Other
Enumeration date
12/13/2006
Last updated
09/24/2015
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