NPI 1003136136

Alexandra Heloise Godfrey, PAC

Practitioner Physician Assistant Northville, MI

Practice location

Address: 19460 Scenic Harbour Dr, Northville, MI 48167-1907
Phone: (248) 735-0201

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1003136136
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2010
Record last updated: 11 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.