Individual
DAVID A VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1412 MAIN ST, HAWLEY, MN 56549
(218) 483-3564
Mailing address
1412 MAIN ST, HAWLEY, MN 56549
(218) 483-3564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41351
MN
207Q00000X
Family Medicine Physician
769040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107997
MEDICA
—
01
—
07G62V0
BCBS
—
05
—
334220400
—
MN
01
—
585241029605
PREFERRED ONE
—
Enumeration date
05/15/2006
Last updated
03/27/2012
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