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Contact Information

SUSAN J GODDARD, DO
2525 CHICAGO AVE
MINNEAPOLIS, MN55404-4518
 Phone: 651-220-6912
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SUSAN J GODDARD · (Female)

NPI Number 1245215201
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/13/2005
Last updated 11/10/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 34818
  • AZ Medicaid 858102
Hospital affiliation(s) Not Available
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.

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