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Alexandra Heloise Godfrey, PA-C

Physician Assistant in Northville, MI. Individual provider (NPI-1).

NPI number1003136136
StatusActive
Last updated in NPPESJun 11, 2010

Details

NPI
1003136136
Entity type
Individual (NPI-1)
Name
Alexandra Heloise Godfrey
Credential
PA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 11, 2010
Last updated
Jun 11, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

19460 Scenic Harbour Dr
Northville, MI 48167-1907

Phone 248-735-0201

Mailing address

19460 Scenic Harbour Dr
Northville, MI 48167-1907

Phone 248-735-0201

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