Individual
DR. DIANE S OGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
310 SMITH AVE N, SAINT PAUL, MN 55102-2393
(952) 843-4333
(952) 843-4301
Mailing address
310 SMITH AVE N, SAINT PAUL, MN 55102-2383
(952) 843-4333
(952) 843-4301
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38040
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366718900
—
MN
Enumeration date
02/17/2006
Last updated
04/07/2021
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