Individual provider · Type 1 NPI

Gordon Ditmanson, MD

Specialist · St. Paul, MN

NPI number 1205956489 Active

Practice location

347 Smith Ave N, Suite 203
St. Paul, MN 55102-2387

Call (651) 241-7733 Map

Mailing address

2148 Iglehart Ave
St. Paul, MN 55104-5049

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X24273 (MN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1205956489

Gordon Ditmanson, MD's National Provider Identifier is 1205956489, issued on Mar 30, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.