Individual
TODD W GOTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 COUNTY ROAD E W, ARDEN HILLS, MN 55112-3783
(651) 523-8400
(651) 484-9650
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33768
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180033703
RAILROAD MEDICARE
IA
Enumeration date
08/17/2005
Last updated
09/12/2025
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