Individual
GRETCHEN A VOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9875 HOSPITAL DR, MAPLE GROVE, MN 55369-4648
(888) 455-2229
Mailing address
9325 UPLAND LN N STE 360, MAPLE GROVE, MN 55369-4200
(888) 455-2229
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
48694
MN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
48694
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
656187000
—
MN
Enumeration date
07/31/2006
Last updated
11/12/2021
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