Gordon Ditmanson, M.D.

NPI #1205956489 in Saint Paul, Minnesota

Provider Information

NPI Number
1205956489
Entity Type
Individual
Name
Gordon Ditmanson, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
M.D.
Enumeration Date
Mar 30, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
347 SMITH AVE N
Address 2
SUITE 203
ZIP Code
55102-2387
Phone
(651) 241-7733

Specialties & Taxonomy Codes

Specialty
Specialist

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