National Provider Identifier Database

SUSAN J GODDARD, DO – NPI #1245215201
Pediatric Emergency Medicine

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.


Contact Information

SUSAN J GODDARD, DO
2525 CHICAGO AVE
MINNEAPOLIS, MN55404-4518
Phone: 651-220-6912
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Emergency Medicine 207PP0204X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for SUSAN J GODDARD

NPI Number 1245215201
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/13/2005
Last updated 11/10/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 34818
  • AZ Medicaid: 858102
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SUSAN J GODDARD, DO

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