NPI 1578797916

Peter a Vogt MD PA

Organisation Plastic Surgery Physician Wayzata, MN

Practice location

Address: 319 Barry Ave S Suite 300, Wayzata, MN 55391-1658
Phone: (952) 473-1111
Fax: (952) 473-0537

Authorised official

Name: Colleen M Fearing
Title: Clinic Manager
Phone: (952) 473-1111

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 22800 (MN)

Other Plastic Surgery providers in Minnesota →

Registry record

NPI: 1578797916
Entity type: Organization
NPI issued: 13 May 2009
Record last updated: 26 Aug 2010

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.