Individual
KATHRYN L ROGGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2620 EAGAN WOODS DR, EAGAN, MN 55121-1138
(651) 968-5201
(651) 968-5903
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5201
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
11534
MN
Other
Enumeration date
07/30/2013
Last updated
12/05/2025
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