person
Evan Godfrey
Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan
NPI 1932720984

Evan Godfrey is a Student in an Organized Health Care Education/Training Program based in Grand Rapids, MI. Evan Godfrey practices in Grand Rapids, MI. The NPI Number for Evan Godfrey is 1932720984 and holds a License No. (Michigan).

The current practice location address for Evan Godfrey is 3300 36Th St Se, Grand Rapids, MI and can be reached out via phone at 616-942-2110.

Location: 3300 36Th St Se, Grand Rapids, MI, 49512-2810
person
Provider Profile Details
NPI Number
1932720984
Provider Name
Evan Godfrey
Credential
Provider Entity Type
Individual
Gender
Male
Address
3300 36Th St Se, Grand Rapids, MI, 49512-2810
Phone Number
616-942-2110
Fax Number
Provider Enumeration Date
04/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3300 36Th St Se
City
State
Zip
49512-2810
Phone Number
616-942-2110
Fax Number
person
Provider Business Mailing Address Details
Address
3300 36Th St Se
City
State
Zip
49512-2810
Phone Number
616-942-2110
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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