Individual
DR. IVO C DITAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-8680
(651) 254-8656
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
106408
MN
207RG0100X
Gastroenterology Physician
Primary
55599
MN
Other
Enumeration date
05/28/2009
Last updated
05/12/2026
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