Individual
DR. STANLEY J KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
100362
NY
2088P0231X
Pediatric Urology Physician
Primary
2014-00521
NC
2088P0231X
Pediatric Urology Physician
20574
NH
2088P0231X
Pediatric Urology Physician
ME135771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00172096
—
NY
05
—
024633300
—
FL
Enumeration date
07/05/2006
Last updated
06/21/2021
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