Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL CHARLES GODDEYNE, PA-C
Active Sole ProprietorMICHAEL CHARLES GODDEYNE, PA-C is a Physician Assistant healthcare provider located in MILWAUKEE, Wisconsin. NPI 1518539907 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MILWAUKEE, WI
Registration Details
- NPI Number
- 1518539907
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2021 (5.1072797285201 yrs)
- Last Updated
- Aug 12, 2024
- Licenses
-
5489-23 (WI)5489 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2900 W OKLAHOMA AVEMILWAUKEE, WI, 532154330Browse WI providers · Browse ZIP 53215
- Phone
- 4144894190
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MILWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| JULIA NICOLE MENNEN | P.A. | 1407852916 |
| MR. MARK P BEHAR | PA-C | 1205832045 |
| LEILA SCHAEFER | P.A.-C | 1508866401 |
| MRS. CHRISTINE B KAMELLE | PA | 1821090440 |
| ALAN E EDWARDS | PA | 1700879871 |
| CATHERINE R. VALENTYN | P.A. - C. | 1578558045 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.