Individual
BROOKE RAEANNE VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3931 LOUISIANA AVE S, SAINT LOUIS PARK, MN 55426-5000
(952) 993-3180
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14123
MN
Other
Enumeration date
06/13/2022
Last updated
04/17/2026
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