Individual
SUSAN C GOODALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
393 N DUNLAP ST, SUITE 300, ST PAUL, MN 55104
(651) 645-4693
(651) 645-6503
Mailing address
393 N DUNLAP ST, SUITE 300, ST PAUL, MN 55104
(651) 645-4693
(651) 645-6503
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38423
MN
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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