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Michael Charles Goddeyne, PA-C
Physician Assistant in Milwaukee, Wisconsin
NPI 1518539907

Michael Charles Goddeyne is a Physician Assistant based in Milwaukee, WI. Michael Charles Goddeyne practices in Milwaukee, WI and has the professional credentials of PA-C. The NPI Number for Michael Charles Goddeyne is 1518539907 and holds a License No. 5489-23 (Wisconsin).

The current practice location address for Michael Charles Goddeyne is 2900 W Oklahoma Ave, Milwaukee, WI and can be reached out via phone at 414-489-4190.

Location: 2900 W Oklahoma Ave, Milwaukee, WI, 53215-2843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518539907
Provider Name
Michael Charles Goddeyne
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2900 W Oklahoma Ave, Milwaukee, WI, 53215-2843
Phone Number
414-489-4190
Fax Number
Provider Enumeration Date
07/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2900 W Oklahoma Ave
City
Milwaukee
State
Wisconsin
Zip
53215-4330
Phone Number
414-489-4190
Fax Number
person
Provider Business Mailing Address Details
Address
2900 W Oklahoma Ave
City
Milwaukee
State
Wisconsin
Zip
53215-4330
Phone Number
414-489-4190
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5489 (Wisconsin)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
5489-23 (Wisconsin)
Definition
Definition to come...
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