# ROGER S HOGUE MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hogue Vein Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760429237
- **Authorized official:** MR. ROGER S HOGUE MD (OWNER)
- **Authorized official phone:** (763) 447-2500

## Contact information

- **Practice address:** 7365 KIRKWOOD ST N, STE 120, MAPLE GROVE, MN 55369
- **Practice address phone:** (763) 447-2500
- **Practice address fax:** (763) 447-2505
- **Mailing address:** 7365 KIRKWOOD CT N, STE 120, MAPLE GROVE, MN 55369
- **Mailing address phone:** (763) 447-2500
- **Mailing address fax:** (763) 447-2505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | 37641 | MN | Yes |
| 261Q00000X | Clinic/Center | 37641 | MN | — |
| 261Q00000X | Clinic/Center | 9896 | ND | — |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 02/03/2015
