Individual
NICOLE POGANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17489 DODD BLVD, LAKEVILLE, MN 55044-6506
(952) 428-1020
(952) 428-1025
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14423
MN
Other
Enumeration date
05/12/2023
Last updated
04/16/2025
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