Whalio Doctors

NPI 1760429237

Roger S Hogue MD PA

Organisation Phlebology Physician Maple Grove, MN

Practice location

Address
7365 Kirkwood St N, STE 120, Maple Grove, MN 55369
Phone
(763) 447-2500
Fax
(763) 447-2505
Mailing address
7365 Kirkwood CT N, STE 120, Maple Grove, MN 55369

Authorised official

Name
Roger S Hogue
Title
Owner
Phone
(763) 447-2500

Registered specialties (3)

Phlebology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 37641 (MN)
Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 9896 (ND)
Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 37641 (MN)

Registry record

NPI
1760429237
Entity type
Organization
NPI issued
1 Jun 2006
Record last updated
3 Feb 2015

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.