Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mini B Goddard M D P C

Organization Physical Medicine & Rehabilitation Physician · NPI 1528112679

Mini B Goddard M D P C is a Physical Medicine & Rehabilitation Physician in Riverview, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

14600 King Rd Ste A
Riverview, MI 48193-7952
Phone: (734) 479-7800
Fax: (734) 479-7802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 4301064837 (MI)

Record details

NPI number1528112679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mini Goddard — President · (734) 479-7800
NPI enumeratedJanuary 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address14600 King Rd, Suite A, Riverview, MI 48193-7952