Individual
DANIEL OGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 262-4881
Mailing address
1200 E 25TH STREET, HIBBING, MN 55746-2341
(218) 312-3002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34144
MN
207LP2900X
Pain Medicine (Anesthesiology) Physician
MN34144
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002503800
—
MN
01
—
050012530
RAILROAD MEDICARE
MN
01
—
114066
UCARE
MN
01
—
1275634842
NPI
MN
01
—
2080750
MEDICA
MN
01
—
33435OG
BLUE CROSS BLUE SHIELD
MN
Enumeration date
09/26/2006
Last updated
10/18/2010
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