Individual
ELIZABETH ANN VOGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8981 AZTEC DR, MEDISPA, EDEN PRAIRIE, MN 55347
(612) 308-4300
Mailing address
8981 AZTEC DR, EDEN PRAIRIE, MN 55347-1916
(612) 308-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9567
MN
Other
Enumeration date
10/11/2016
Last updated
07/31/2024
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