Individual
JONATHAN W GODSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 5TH ST N, NEW ULM, MN 56073-1514
(507) 217-5000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36549
MN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
32546
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
644565900
—
MN
Enumeration date
07/10/2006
Last updated
03/17/2018
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