Individual
ANDREW W. GOTTFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(612) 262-6611
Mailing address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(612) 262-6611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
51119
MN
207R00000X
Internal Medicine Physician
Primary
51119
MN
208000000X
Pediatrics Physician
51119
MN
Other
Enumeration date
05/17/2007
Last updated
11/10/2020
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