Individual
SUSAN J GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(651) 220-6912
Mailing address
11468 AVERY DR, INVER GROVE HEIGHTS, MN 55077-5483
(651) 905-1146
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
34818
MN
208000000X
Pediatrics Physician
34818
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
858102
—
AZ
Enumeration date
12/13/2005
Last updated
11/10/2008
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