SUSAN J GODDARD DO NPI 1245215201

NPI Information

Susan J Goddard, DO is a pediatric emergency medicine emergency medicine in Minneapolis, MN. The provider is pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. Susan J Goddard, DO NPI is 1245215201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2525 CHICAGO AVE
MINNEAPOLIS, MN
ZIP 55404-518
Phone: (651) 220-6912

The NPI 1245215201 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2005 and was last updated on 11/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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