Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 107660 | MN |
Y | 207L00000X | Anesthesiologist | 58484 | MN |
NPI | 1013287473 |
---|---|
Provider Name | Matthew Norman Paul Vogt |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2012 |
Last Update Date | 04/08/2020 |