| Roger S Hogue Md Pa | |
|
7365 Kirkwood St N, Ste 120 Maple Grove MN 55369 | |
| (763) 447-2500 | |
| (763) 447-2505 |
| Full Name | Roger S Hogue Md Pa |
|---|---|
| Speciality | Phlebology |
| Location | 7365 Kirkwood St N, Ste 120, Maple Grove, Minnesota |
| Authorized Official Name and Position | Roger S Hogue (OWNER) |
| Authorized Official Contact | 7634472500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger S Hogue Md Pa 7365 Kirkwood Ct N, Ste 120 Maple Grove MN 55369 Ph: (763) 447-2500 | Roger S Hogue Md Pa 7365 Kirkwood St N, Ste 120 Maple Grove MN 55369 Ph: (763) 447-2500 |
| NPI Number | 1760429237 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 02/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760429237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 9896 (North Dakota) | Secondary |
| 261Q00000X | Clinic/center | 37641 (Minnesota) | Secondary |
| 202K00000X | Phlebology | 37641 (Minnesota) | Primary |
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