Dr. Charles Brien Godfrey, M.D.
Psychiatry & Neurology, Psychiatry in Burnsville, MN. Individual provider (NPI-1).
NPI number1962563536
StatusActive
Last updated in NPPESSep 24, 2015
Details
- NPI
- 1962563536
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Brien Godfrey
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2006
- Last updated
- Sep 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 26058 | MN | Yes |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 26058 | MN |
Practice location
501 Highway 13 ESuite 116
Burnsville, MN 55337-2884
Phone 651-365-3606 · Fax 651-681-9317
Mailing address
501 Highway 13 ESuite 116
Burnsville, MN 55337-2884
Phone 651-365-3606 · Fax 651-681-9317
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All 8 Psychiatry Physician providers in Burnsville · All 3,414 providers in Burnsville
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