NPI 1205956489
Gordon Ditmanson, MD
Practice location
- Address
- 347 Smith Ave N Suite 203, Saint Paul, MN 55102-2387
- Phone
- (651) 241-7733
- Mailing address
- 2148 Iglehart Ave, Saint Paul, MN 55104-5049
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1205956489
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Mar 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.