GODELA R IVERSON

FARGO, ND
NPI1770513970
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: ND  3278)
Additional Taxonomies207RI0200X Internal Medicine, Infectious Disease
(Licence: MN  28275)
Enumeration Date2006-07-04
Last Update Date2007-07-09
Business Address
-- GODELA R IVERSON MD
3000 32ND AVE S
FARGO, ND 58103-6132
Phone number: 701-364-8000
Mailing Address
-- GODELA R IVERSON MD
PO BOX 6001
FARGO, ND 58108-6001
Phone number: 701-364-3300