SUSAN J GODDARD

MINNEAPOLIS, MN
NPI1245215201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207PP0204X Emergency Medicine, Pediatric Emergency Medicine
(Licence: MN  34818)
Additional Taxonomies208000000X Pediatrics
(Licence: MN  34818)
Enumeration Date2005-12-13
Last Update Date2008-11-10
Business Address
-- SUSAN J GODDARD DO
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404-4518
Phone number: 651-220-6912
Mailing Address
-- SUSAN J GODDARD DO
11468 AVERY DR
INVER GROVE HEIGHTS, MN 55077-5483
Phone number: 651-905-1146